Responding To YOUR Hottest Medical Takes

[@Silentgrace11]

Hot take: insurance companies should not have the right to arbitrarily decide what is “medically necessary” for a patient when they’re not the ones actually providing patient care. Doctors should not have to constantly adapt their care services to meet the insurance company’s demands especially if that’s not the best care plan for the patient.

[@EskChan19]

Agreed. And they also shouldn't be generalizing things as well. This isn't a big example since the treatment wasn't very expensive, but I once went to have a wart removed that was on my butt right where I sit. It would grow for a while, harden and become very painfull, until eventually it chaved off enough to start bleeding for a while, and then the cycle would start over. Sitting was really painfull whenever the hardening phase came about. So I went to have it checked out and after making sure it wasn't a malignant thing, had it removed. I had to pay for that myself, because "Warts aren't a health hazard, so removing them is just for the looks and therefore plastic surgery which we don't pay". Which yes, anywhere else it would not have been a problem, but at this spot it was!

[@mahad1203]

Agreed, but I don’t think this is a hot take. You’re 100% right though

[@xoxolovechristielynn]

AGREE A MILLION TIMES OVER. I have had insurance companies even decide what doctor I can see and override my doctors prescriptions and treatments. People who have never met me, wouldn’t know how to read my medical chart if they ever saw it and have no business on the medical care side of things, and need to stick to the coding and billing side of things. Infuriating.

[@sunsundks3891]

​@@EskChan19I think it is a problem in a lot of the places in a body

[@bencenagy5459]

It's not a hot take if it's true

[@maggiep6605]

As a cancer researcher, if cancer was cured tomorrow, everyone I know would be happy to find a new area of science to work in.

[@Absbabs88]

It's not the scientists that's the issues, it's the drug companies.

[@liminalchains]

Cool, you don't make the money. The pharmaceutical CEO's do.

[@maggiep6605]

@@liminalchains They don't do the research. They wouldn't be able to keep it a secret somewhere with all the testing that is required. Too many people would be involved and there would be whistleblowers.

[@abbodabbo6863]

Oncology nurse here. I’d gladly find another nursing specialty!

[@novamagician2425]

Im pretty sure that even if a cure for cancer is found, there will still be research to be done to find cheaper or more efficient ways to administer the cure. Also, insurance companies are the ones that control the prices of drugs as they are the ones that negotiate the pricing of drugs and medical procedures

[@KnightSlasher]

Doctor mike giving his knowledge on medical hot takes is amazing, it allows him to vent his frustration while dealing with the misconceptions

[@BrandelSaundh-i7p]

What are you talking about

[@info0]

Cancer never being cured because it makes money, it's just common sense. No need to be medic here. It's the truth, whether doctors like to admit it or not. Big pharma business is probably 2nd most profitable business right after military.

[@alexicon2006]

I understnad what he's saying

[@melissasheppard6674]

​@@omaausbeuterbasically Dr. Mike gets to vent his frustration with false information while debunking it

[@aramenius4293]

He's a bit wokie tho

[@dannyo7421]

2:06 my circadian rhythm has me tired at about 2am and wake up around noon. Ive never felt more rested and happy on a "regular" sleep schedule.

[@MUSICY_BOY]

SAME AS ME!😮

[@HDL_CinC_Dragon]

Same here. I am very much hardwired to be a night owl. Chronotyping does not get the attention that it needs.

[@sportscardude]

Surprisingly me too. I naturally want to fall asleep at about 0200 and wake at noon. I bounce right out of bed, ready to start the day (afternoon.) I was actually fortunate enough to find a good paying job that runs from 4:00pm to midnight and I actually love it! Except no-where is open when I get off, hungry and ready for dinner. Not even grocery stores :(

[@mastod0n1]

​@sportscardude When left to my own devices I naturally stay up until 2 or 3 and sleep until 10 or 11, although I don't know how much of that has to do with working in restaurants. My schedule now is only day shifts 8 or 9am to around 4 or 5pm and after about 12 months my body has finally adjusted and I'll wake up without an alarm around 8 or 9am on my days off. I love it. I get to spend more time with my wife and do my shopping and errands after work, which I love because I hated trying to do stuff before I worked a 9 hour dinner service shift. But yeah society in general does not allow for convenience for people working fluctuating or late night hours

[@lifestyle936]

My circadian rhythm is 11-7 in the freight yards. (Trains, trucks,and the occasional 737)

[@Snazzy16]

Hot take: dental and eye insurance should fall under health insurance. They all relate to health and whats inside our body. Health insurance should provide for dental and eye necesites.

[@Snazzy16]

@@Devilsadvocate23 100% I agree. Insurance is so so stupid

[@M13]

In Taiwan you pay about 30 bucks a month for health insurance and it covers absolutely everything from dental to eyes to psychiatric.

[@LuiZ-jy1pi]

not hot take, just obvious: the more things you add to the insurance, the higher the cost will be and worse the system becomes. There's no such thing as free lunch, the insurance companies should be free to create and offer different "bundles" of health services that are covered and price them accordingly, and then the client picks the ones that benefit them the most. Here in Brazil we have ludicrous regulations on private health insurances, every year some groups go to congress to lobby for more and more mandatory coverage. The health care plans can't even make distinctions between genders and ages, which is INSANE. Imagine the insurance for a competitive race car costing the same as the insurance for a car that a middle aged man drives in a small town. That's what the regulations do. What ends up happening is that prices are absolutely prohibitive for young and healthy people, which lead them to drop out, causing insurance companies to have more and more of the oldest and sickest people enrolled, which in turn make the cost even higher, causing more people to drop out on the other end, and then the snowball effect is set in motion.

[@coconutstory]

Sigh. Wish my fellow Americans voted for universal healthcare.

[@Krushx0]

do you have any idea how much pain and inconvenience and freedom loss that introduce in your life? No sane business person would give people car insurance if your driving behavior constantly damage the car every day... or you would have to pay an insane amount. Life has many aspect don't just see from your point of view.

[@CreamIceMs]

The fact that DENTAL CARE is not considered in insurance, as if your teeth can't get sick! How it's separated from Healthcare like that is WILD to me.

[@GoddoDoggo]

Most health insurance plans cover one exam and cleaning per year; dental insurance is usually used for "everything else," like fillings or other treatments.

[@Noitsbecky101]

is this just a US thing? bc i live in morocco, and dental care is covered by insurance here

[@lamari2753]

⁠​⁠@@Noitsbecky101Unfortunately, a lot of health insurance companies here in the US are separate from dental. You can always get it through your employer or go the private route

[@ShastaMusic]

Even with dental insurance it's wildly expensive. Physical health issues I've had caused my teeth to decay faster than normal, but my medical insurance doesn't cover anything. My dental covers 50%, which means it's only $10k for the work I need instead of $20k....yay..☠️

[@katscratchfever3506]

I completely agree. My dental insurance is so useless that letting a tooth rot and paying $60 to have it pulled is the cheapest route.

[@svetlanazhigalina]

"To hurt someone who's already hurting"... Such profoundly kind and empathetic words ♥

[@Tina-stick]

Yeaaa! I was like “that’s a great idea at first” but after hearing his opinion it was an immediate no for me, damn

[@martinmarkov9707]

Killing dead people. No, wait, that's grave robbing and a sign of necrophilia.. Will never understand why ppl smoke or drink alchohol. Even less when it comes to drugs. I'd rather go into a food coma than any of those. And forget gambling or courtisans.

[@tkrause1116]

Yes!

[@triv4555]

@@martinmarkov9707 J.Cole's album KOD said it best: "Life can bring much pain...there are many ways to deal with this pain." Some people just choose lower-quality methods like smoking, drinking, drugs, etc.. because it's an easier/cheaper way out than ways that require a more active commitment, like therapy/counseling and so on.

[@DrahcirII]

@@martinmarkov9707 Maybe they've had too many bad days and it's easier for them to chase indulgences or some other nuance

[@TheSilverPhoenix100]

LNA at a nursing home here, So in regards to the nursing home complaint those fears are founded...but also nursing homes have become way better than the horror stories of the 50-60s where residents were locked inside their rooms or outright abused by staff. In home healthcare is by far the best choice but its also expensive and not an option for everyone.The biggest thing you can do if you need to send the loved one to assisted living is actually visit and interview at a nursing home and see how it is. Check for staffing levels and if your loved ones have some type of mental impairment see if they have a specific wing for that. Lastly privately owned tend to be better than state run (not always but for the most part as state run are just much larger with more resistances)

[@myrawest]

Ugh he is so right about not laying around too much when you're injured. I went that route with a chronic leg injury and it just stayed bad or got worse for YEARS. And it was finally moving again, slowly, but pushing through some pain that finally got myself to heal.

[@Messup7654]

What is too much because you shouldn’t push through pain you can work on yourself without pushing through pain that’s how you get injured ask any doctor specifically the one who likes your comment (unless your talking about mental pain😂)

[@Messup7654]

It’s a big difference between breaking your leg and spraining something especially a small sprain so how chronic was your injury

[@myrawest]

@@Messup7654 you're talking without knowing ANYTHING about my injury

[@Simplenotion]

@@Messup7654 actually for a lot of chronic and acute injuries/issues you have to work with a certain amount of pain to make it better short and longterm - every good physiotherapist will tell you that. It doesn't mean that you ignore the pain and have to push through every kind and amount of pain but some pain cannot be avoided in treatment.

[@CreamIceMs]

I recently learned that this is the case for you vocal cords too! Keeping your voice at total rest keeps it at a higher risk of atrophying or getting worse when you have a vocal injury.

[@MarnieGolde7]

The problem is that most people think cancer is this ONE thing that needs just ONE cure. And I’m just so, so tired of explaining.

[@Views_of_Eight]

I’ve always found “a cure for cancer” such a strange statement and a bit of a strange thing to focus on. First, we do have pretty effective treatments for a lot of types of cancer. Second, there ARE so many different types of cancer, it might be difficult to find a cure for ALL of them. Third, cancer isn’t the only terrible disease in the world. I get it, it’s devastating and I’ve lost family to it, but it’s not the only thing that does that. It’s always felt like a weird general statement and people act as if we’ll have “won” medicine once we beat cancer. Like, no? There are still plenty of fatal disease out there that anyone can get? It’s not the end-all be-all of medical research

[@ethangriffiths7802]

@@Views_of_Eightvery well said.

[@pnut3844able]

No one wants you to explain anyways, so we're all fine with you not doing it too.

[@bhperfig349]

plus theyd make TONS of money off a cure for cancer so its j a dumb conspiracy theory

[@QueenOfTheZombieApocalypse]

Omg yes. I’m in biomedical research and the amount of times I’ve heard some version of “well, the pharmaceutical companies already have the cure for cancer. They just don’t want people to have it because of all the money they make off of treatments” 🤦🏻. Why on earth do people think this?? Not only does that assume that all of the competing biomedical researchers and companies worldwide have somehow agreed to do this together, but can you imagine how much money a company would make if they an actual cure for cancer?? There is absolutely no way you could convince a company not to bring that to market.

[@ChristerGilbert]

Hearing how you responded to the comment about having to pay more if you live an unhealthy life style made me happy. Mentally healthy people dont understand the range of challenges that less mentally healthy people go through. So thank you for that.

[@tinntinnamp]

Yes, that was such a messed up take from that supposed Nurse. Clearly she has a biased opinion, which you shouldn't have in the medical field, and Dr. Mike is such a great example of that. Of course he's not perfect but he clearly tries very hard to understand every aspect of people and the medical field.

[@ShareenHo]

Man it took me years to quit smoking and went to vaping, and I WISH I could give it up but my vices are what gets me through things daily. I managed to quit caffeine, quit cigarettes, cut down on drinking by a lot... so Im making progress, slow progress , but it would be horrible to hear me not being worth helping just because I have vices that get me through the day.

[@ChristofferLund6]

I believe we're discussing USA here. The country has higher taxes on alcohol and cigarettes, and some states even levy small taxes on items like fats and sugars. Additionally, a portion of federal tax contributes to programs like the Children’s Health Insurance Program (CHIP) and the Affordable Care Act (ACA). This means the less fortunate can benefit from programs like the ACA. Please note that this is just a cursory overview based on my brief online research, so take it with a grain of salt

[@pininja4981]

​@@tinntinnampt wasn't a biased view. She made absolute sense but she removed emotions and cause from the equation. Thats why its not a good idea to do that. But she had the right ideal in mind. That if we make life easier for healthy people, more people will want to be healthier. Its true. Not all people obviously. But many will improve their lives. But she removed important factors from the equation so the idea isn't the best

[@DragonNexus]

​@@pininja4981thoroughly anime avatar take there. The reason people aren't healthy is they don't want it enough? What about low wages leading to limited food choices, meaning worse quality food full of fat and sugar? What about long work hours meaning you don't have the time to prepare food yourself and have to rely on quick calories to keep going? What about just so many different kinds of mental illnesses? Grow some damn empathy, my guy.

[@lwilliamsj7]

2:52 With the weight, I’ve had reoccurring problems with my back since I injured it while activity duty in the Marines over 20 years ago. Even during those days I’ve had back issues since the initial injury and I was in great shape. Now that I’m overweight & go to a doctor about my back, they just say it’s due to my weight & never do any type of tests & just tell me that losing some weight should make it better.

[@TheAutisticTraveller]

A few years ago I fell and injured both of my knees. Hobbled into the doctor the following day, visibly injured - bruises and cuts and scrapes all over me - and not able to put any weight on my right leg because that knee was totally messed up. The doctor told me I needed to lose weight to take pressure off my knee. She wouldn't even give me a requisition for an x-ray. That experience ruined my faith in doctors and left me with knee issues that persist to this day, that I'm pretty sure could have been resolved with proper treatment at the time.

[@MEStrahm]

As a nurse who is also a recovering addict, the misconceptions so many healthcare professionals have about addiction is very sad

[@rdizzy1]

And this includes pharmacists. They also don't know the difference between chemical dependence, and addiction. (Difference in behaviors) I have been physically dependent on prescriptions of opioids for 17 years, for instance, but have never once taken more than prescribed, have never once engaged in risky or negative behaviors, it has never effected my life negatively, have never sought out drugs on the street, etc,etc. I am chemically dependent, however, I am not an addict.

[@jeff4762]

Not even a healthcare professional not an addict but that take made me so sad. What so many people don’t understand is that addiction truly is a societal issue and they believed it could be fixed by decreasing healthcare accessibility rather than increasing it.

[@wobblestone3148]

@@jeff4762 well, that person's probably thinking that increasing the negative consequences for being an addict will make people less likely to become one, although that's not always the case

[@rdizzy1]

@@jeff4762 It is similar to the delusions they have about keeping drugs illegal or making even more drugs illegal. In drugs that people want to use, legality has no effect on usage, it only has a negative effect on society via throwing addicts into prisons. All street drugs should be decriminalized on a federal level, at the very least, if not made fully legal, so addicts have sources of untainted drugs of known doses. Making heroin or cocaine legal will not increase usage to any significant amount. This will result in a decrease in deaths by 50+%, and put a huge portion of the cartels and dealers out of business. But they will not do this, because the puritans masturbate furiously over punishing others for perceived wrong doings, they truly think that addicts deserve to die for their behaviors.

[@jonboy9734]

@@rdizzy1there is a negative connotation to addict. It’s not negative, it is, what it is.

[@eline_van_dijk]

Fun fact: in The Netherlands you actually are a donor when you turn 18 and it's the default to list that you're not. They did it because often people forget to become a donor. But your direct family can still choose not to make you a donor after you've deceased

[@Misshughestrm]

Organ donation is mortifying to me, fyi, you can't donate a heart that doesn't beat, they consider you "dead" so there is no anesthesia. Many coma patients that wake up recall things that happened around them I can only imagine you'd know your heart is getting torn out of your chest and you can't tell them to stop because you're still in there.

[@noahbrown6970]

Same in the UK, and you're even given a list on a special card so that if you want to stay on the register, you can choose which organs will be donated. Which is quite good tbh, cause I feel like its a public service everyone can take part in (one of the few that has no genuine risk to you as a person as well), but I also didn't like the idea of having no control whatsoever! :)

[@TheNotoriousDUDE]

What's awful is that it's not just that people "forget" to sign up as donors, they literally just don't care enough to remember, which is just sad.

[@PaulJones-br6uv]

Same here in Wales. We have presumed consent. Means transplant coordinators will be notified if a suitable person is about to die. They will then ask the family for permission.

[@Mohdaman13]

​@@Misshughestrmpeople in comas still get some brain activity, so thankfully that's not possible unless the doctors don't check for brain activity

[@ridgewalker2010]

So glad Lyme Diseas was mentioned! My brother nearly died (not typical, I know) from a bad case. 2 weeks after being bitten, he went into heart failure. Our tiny little local E.R. doc kept on top of him like a hawk, and saved his life twice in 24 hours. My brother was then transferred to a bigger hospital and was about 4 hours away from being given a pacemaker at age 39, when his Lyme test result came in, positive off the charts. He never had a visible bullseye rash. Several weeks of IV antibiotics later, and his heart has been healthy as a horse ever since. Scared the living bejeesus out of me, though.

[@1mol_wAter]

Holy moly that’s crazy. Props to everyone in the story and I’m so so so glad everything turned out well for your brother.

[@gracetanner4132]

That’s such a terrifying experience so thankful he is doing okay now I have a question what symptoms did he have before his hospitalization?

[@ridgewalker2010]

@gracetanner4132 thank you! The symptoms came on very suddenly and got worse shockingly fast. He got very, very pale, short of breath, sweating, severe muscle weakness to the point of it being difficult to walk, dizziness, and confusion. His heartbeat was erratic. I've seen severe panic attacks (which are awful, for sure), and this wasn't like that. It all got that severe in the span of maybe 15 minutes.

[@ericblackwell70]

He was bitten by what exactly

[@DJFlare84]

7:21 - Such a heartwarming response. You're a good man.

[@MayonnaiseJane]

My husband was once misdiagnosed with Lyme. They told him to stay off his feet for like a week. Turns out it was his first Rheumatoid Arthritis flare, and the worst thing you can do for that is stop moving your joints for a whole week... that was a rough recovery.

[@RSainman]

So sorry that you had to go through this. May God give you and your family strength ❤️

[@ordenax]

Those giving such advices and charging for it, should be liable

[@JohnDoe-qz1ql]

Did you sue??

[@MayonnaiseJane]

@@JohnDoe-qz1ql Not every misdiagnosis is malpractice my dude. We had a rough few months of recovery and he's fine now.

[@JohnDoe-qz1ql]

@@MayonnaiseJane No. If it caused Harm, I'm quite sure you can receive compensation. That said, I know not everyone will readily sue a Dr.

[@h3llr4iser1]

Hot take: Relatively young and otherwise healthy patients often aren't given the due consideration when they first report encountering health issues; many doctors and nurses automatically assume complaints about not feeling well to be borne out of stress, panic attacks, bad habits and so on. This is especially true when it's something intermittent and that has cleared up / is not happening when you get to the doctor's office. Personal experience: had paroxysmal Afib for years and it was always blamed on stress or "panic attacks". It took an hours-long episode and it being caught on EKG at the ER to finally convince everyone I was not making it up - and even in the ER, the nurses kinda went "tut-tut" at me when I described my symptoms - until the EKG machine spat the printout.

[@KMx108]

You don't have to be young to get that treatment. My bladder was not squeezing properly. I was in my 40s and was treated like I just needed to be reminded how to pee properly. When I kept complaining, I was told I probably wasn't potty trained properly as a child. I was also told i could simply be stressed. The reality was I had a B12 deficiency. My parents got a good laugh out of being blamed for causing a problem after decades of zero trouble.

[@Bookluver29]

There are big issues globally with women being disregarded by the healthcare community when reporting symptoms as well. This goes back to not only societal misogyny, but the evolution of medicine being based primarily on the study of male patients, who can often have very different presentations of the same issues. Youth and age bias also exist, as does weight bias. I, personally, have struggled with the healthcare system most of my life, and it's only recently that I've been able to get solid diagnosis and consideration - and that's only because I was able to get enough therapy for my depression from being societally gaslit into thinking that everything I experienced was 'in my head' to finally make the effort to find a GP that would actually listen to me and trust that I wasn't making things up or just get to the end of the diagnostic road and give up. Silent and Chronic Illnesses, too, make things even more difficult. I was diagnosed when I was still in middle school with Chronic Fatigue Syndrome - which is what you get diagnosed with when every test comes back 'within normal range' but you still have undeniable and tangible symptoms. It's only now, with the emergence of Long Covid that the medical community at large are finally realising that Chronic Fatigue is a valid issue. Facing the scepticism of doctors, friends, family, teachers and peers for most of my adolescence was absolutely shattering to my self esteem and ability to form relationships. Being accused of faking it, being lazy or disrespectful became deeply internalised and while I can finally see what happened with that, the damage is something I now have to live with and put an unfair amount of effort into trying to heal so that I can try to move on and develop a healthy life. It's hard, in the face of all that, to try and see it from the other side. I still think, even given ongoing unrelated struggles my family faces with getting recognition and support from the healthcare community, that it's important to remember that healthcare workers are people. They are going to make judgement calls based on experience and personal bias, and it's not malicious. It's not fair, and it does cause harm, and it does need to be brought to attention that this does happen, and it happens every day, but we as a community also need to remember to have compassion and understanding so we don't end up alienating and demonising people just like we were.

[@alice45-fgd-456drt]

@@Bookluver29 The fact that the science is biased is one thing, but honestly yeah I will judge a so called medical professional who refuses to listen to their patient because of their own made up bias. No doctor is told that fat people don't get ill with anything other than things relating to their weight, or that women only suffer from mental disorders and not physical illness, yet that's the way we're often treated. I've had several actual physical diagnosable medical issues be diagnosed as "stress" or "depression" before seeking a second, third, fourth opinion to get someone to actually run tests to find out what the problem is. With that in mind, I have zero compassion for people who are put in a position of power and wealth to provide a service but refuse to do so because of personal bias. These "doctors" are killing people with their negligence and should be stripped of their license.

[@tollkirschearkham3508]

I've had experience with this, too. I have reported to a hospital a few times with a severe pain in my stomach area (I was about 20 at the time). It would start out relatively minor and over time would become bad enough to leave me in tears. It felt like contractions. I was accused of everything from drug-seeking to lying about a pregnancy (I weighed about 130 at the time, if I was far enough along to have contractions, I would have had a beach ball sized lump under my shirt). I never found out what was wrong, all tests came back normal and ultimately they couldn't determine what it was. I know now that I have GERD, but I don't experience this anymore and I don't know if GERD had anything to do with it.

[@kid-ava]

​@@Bookluver29I love this comment. I am sorry about your experiences though and I'm glad you're in a better place now

[@mirandarobinson6005]

My husband was an ICU nurse and do you know what he saw all the time in the hospital? Unhealthy healthcare workers, including ICS nurses, not recognizing their own unhealthy behaviors while passing judgement on their patients. My mom, who was also a nurse, use to say, "they did it to themselves." all the time, until she was diagnosed with diabetes. Suddenly, it's genetics or a societal problem and not just her doing it to herself.

[@reaperzwei845]

Eh, not surprising. Healthcare workers are people too.

[@leaffinite2001]

Yeah that behaviors not nurse exclusive, but it can be most harmful in medical situations.

[@rileymosman2808]

I feel like a lot of people in the medical field tend to see the condition before seeing the person. I don't know if it's a coping mechanism or just because it's their job to treat conditions

[@hamcrazy96]

People are just uneducated when it comes to their own wellbeing it’s not all on them (besides the judgmental part.) America is a society where over nutrition is a problem eating and drinking empty calories, this a very new phenomenon in human history. It needs to be instilled at a young age how to actively stay healthy and that starts with sleep

[@M13]

Almost all health derives from food. And oddly both doctors and nurses spend almost no time studying nutrition.

[@crescentdarklight]

Thank you so much for covering the comment on how people should pay more because of drugs, and how people are hurt by society and that's why they do drugs and or other things! Also thank you for just covering the complexity and how nothing is clear cut. The system/s that are in place are maintained by people for people, and it's nice to feel like someone is talking some sense about these sorts of things. I feel like there's not a lot of compassion, both in and out of the medical communities, and as a disabled person I just was really refreshed by this video here. Please keep doing work like this, because there's just so much people do not know.

[@candymoor]

This is completely out of the topic of the video but, I wanted to say that you inspired me to learn about medicine, especially about family medicine. I'm 15, and your videos inspired me so much, I can't stop watching your videos. Thank you, Dr. Mike ♡

[@sethstile1201]

All the best for your future.. be a good doctor

[@candymoor]

​@@sethstile1201Thank you, I will try my full best to be a good doctor

[@Flow-Fi-]

I’m sure you’ll be a wonderful doctor, especially with all the advancements being made in the medical field everyday. I’m betting you could be one to make a huge discovery :)

[@candymoor]

@eFlowFiNet That's very sweet of you, thank you so much! ♡

[@crow_feather]

Thank you, Dr.Mike, for your compassion and understanding towards those struggling with addiction. As someone with friends I love dearly who struggle with it, hearing a doctor as influential as you show them love and help spread awareness about the root causes of addiction truly means a lot. This is how understanding and awareness is spread.

[@dietotaku]

i genuinely burst into tears when he talked about how that would hurt people who are already hurting. i don't drink alcohol, smoke or use any kind of recreational drugs. but i'm not in good health and you can't punish people into eating healthier or exercising or taking better care of themselves. i quite frankly do not have the spoons, the psycho-socio-emotional resources, to go on a diet, forfeit all my favorite foods, take up running or cycling or whatever, the whole health rigamarole. i am psychologically falling apart and my physical health is a reflection of that. adding financial punishment on top of that is just going to (a) drive me away from seeking any kind of healthcare at all, which will (b) worsen my condition, hasten my physical and mental disintegration and (c) result in a death sentence. killing people to punish them for being unwell in the first place?

[@datdankdj8264]

Dr Mike is the kind of doctor who could fix a broken heart and a broken leg with the same efficiency in the same day and you cannot tell me otherwise

[@plp666]

If you could afford to go to him I suppose 🤔

[@datdankdj8264]

@@plp666 he is indeed an American doctor last I checked so you’re not wrong 😂

[@gabrielcarrasco9078]

You'll need chest compressions for that broken lego though.

[@nickwoodward819]

so efficient he can't answer the first question

[@wolfinvestigator]

Otherwise...

[@coreyvisser7004]

I've been working night shifts for almost a year now and I still feel like it fits me better. I've always been a night owl. My ideal sleep times would probably be between 2am-4am and 10am-12pm. My current schedule is awake at 6pm, at work at 6.30pm, home by 7.30am, asleep by 10am at the latest. I really struggle with sleeping through noise and my wife snores so this works out best. I also just generally function better in the evening.

[@maggierex5675]

Note to the Editors: I really like how the orange line moves on the bottom of the screen to show how long each of his takes are. It was very satisfying!!

[@stargazer-elite]

Yes

[@tami3456]

What an odd thing to point out

[@cuckoos_]

​@@tami3456I mean, not really?

[@tami3456]

@@cuckoos_ I mean, yeah it kind of is 😂

[@SMTRodent]

I appreciated that as well! I thought it was nifty.

[@duhnay]

As someone with Lyme disease that's struggled for about 13 years despite antibiotics (oral and IV), thank you for talking about this issue repeatedly. If a doctor had believed me immediately instead of given me the "it's all in your head, Lyme disease isn't in this area" take, my life would be DRASTICALLY different now. Awareness, prevention, early detection, and early treatment is absolutely KEY 💚

[@phil1500]

Thankfully the 'in your head' trend is reversing, thanks to some good research over the past five years. But cases are also skyrocketing. I just finished my doxy cycle a week ago and my back is more useless than before and the random brain fog is utterly crippling when it crops up for a few minutes every few hours. Had the rash on the back of my thigh for who knows how long before I luckily got another one on the front of my left thigh. Awareness is going up and research is getting funded with the increase in cases (though they haven't pinpointed the source of it beyond global warming, whether its due to tick life, deer migration, or rat/vermin longevity, probably all of them tbh). I think Ren has really helped awareness too. Wishing you all the best in your struggles

[@TherealDanielleNelson]

Yes! I thankfully had the red bullseye all over my body before I went in, because I really though it was just a rash. Took antibiotics its went away but came back a year later. Took more antibiotics and it went away, but now when it's really cold my joints ache. They told me it's nothing. I'm telling them it's arthritis from Lyme disease.

[@RachelKay528]

I do think it's important that Dr. Mike is talking about Lyme, but I also haven't seen him acknowledge that Chronic Lyme is real. If you go years without being diagnosed properly, so don't do treatment until like 10 years later, one course of doxy may not cure it. This is what they don't seem to understand. Sure, it works for some people, but for some people the Lyme doesn't go away and it keeps spreading. It can be really hard to get rid of.

[@diablominero]

​@@RachelKay528one course of doxycycline will almost certainly kill all the Lyme bacteria in your body. Leaving an infection untreated for years can do permanent damage to your body, but adding more courses of doxycycline isn't going to fix that (even though the antiinflammatory side effect of doxycycline might provide temporary symptom relief).

[@RachelKay528]

@@diablominero you are absolutely wrong. Ask anyone in the chronic Lyme community.

[@hannahs_harp]

this might be a tiny thing but i really appreciate the moving line at the bottom of the video to show how long your response is going to take and how far through it you are currently. I am autistic and i find it difficult to follow and process information. knowing how long/short the burst of information is really helps me gauge my interaction and energy expenditure. small thing, but thank you!

[@nicolechai1]

I’m not autistic but I still appreciated it also!

[@jake8748]

Oh god I was thinking I was the only one that found following the line also helped me focus on the answer and properly individualise each answer to the next.

[@CallMeByMyMatingName]

Very well arTICKLEated. Similar boat.

[@ledgaming6489]

I just commented saying how sad it was to have the time bar there. You might be the exception but if people need that who aren’t autistic, society is fucked

[@brittanigonzales8044]

I agree!

[@kaspedkk]

4:37 Yes, Mike, it actually does! In Denmark, medical education is free, as is healthcare. While our healthcare and education systems do face pressures and have their faults-just like anywhere else-they’re still incredible. Every Danish citizen is entitled to free healthcare and free education from start to finish. So it absolutely is an option here. Of course, there are always pros and cons, but I’d much rather live in a system where I don’t have to worry about bankruptcy or insurance complications if I get sick or injured. And with education being accessible, people have a much more equal chance to achieve their ambitions. We do fund it through taxes, yes, but it's nowhere near the cost of unexcpected healthcare expenses or the debt medical professionals face in the U.S.

[@kuchsia-ly]

Surprised Dr. Mike didn't have a more nuanced take on this (and I think he misread the question in general)

[@Reinshark]

Absolutely-and people implicitly understand that this means "free to the consumer", not "somehow magically free so that it doesn't cost anything to anyone, not even taxpayers." People know that "free" education and "free" healthcare mean state-funded/taxpayer-funded systems. I found Mike's response here incredibly patronizing.

[@MediatingLeela]

As a physical therapist, it made me so happy to hear you say "you continue that neural activation pathway to keep good control of your muscle." I say this at least 3-4 times a day to different patients, if not more. We've moved away from following the RICE method, and so many patients are misinformed, or so scared they will only further injure themselves, and they have to be taught safe movements for proper healing. Thank you for including this!

[@billurbh7376]

Why’d we move away from the rice method? Could you elaborate

[@xxkildarxx]

Its crazy how dismissive people are of mental health. Even a supposed ICU-Nurse overlooks it in some desire for the myth off meritocracy.

[@Teal_Blastoise]

I *_hate_* people are like that with mental health.

[@jrmckim]

Yeah not sure they are a nurse... they would know that insurance companies usually make smokers or heavy drinkers pay more for insurance. That is widely known.

[@sharonsangel2]

Yeah a nurse saying that is scary and shameful smh

[@KateSc722]

Actually, they may be dismissing it with the male of the species, but if you are female and walk into an ER or clinic, most of your symptoms will be dismissed as anxiety and/or a panic attack or anxiety-induced migraine.

[@sleepyote]

People like that shouldn't be nurses.

[@terryboyd4352]

I recently was assigned to a different doctor, because mine retired. This doctor says he treat the whole person, physically AND mentally. I like him much better than my previous doctor. He's helping me handle my Type 2 diabetes, and wants me to get off most of my meds. (8) by eating better and just plain living better. I hope to be his patient for a long time.

[@jesusofbullets]

That is the sign of a true medical professional. Glad you have a great doc.

[@NEPtune-fy1ug]

thats exactly how it should be! diabetes control comes down to weight management, diet, exercise and finally medications. if diet is too hard to change, or exercise is difficult to fit into one's schedules, then medications need to be used. but if one is willing to put in the work to change up their diet and lifestyle, medications aren't necessary at all

[@SuzanneIYN]

I completely trust my obgyn with my health. Two years ago I was having a hard time with my mental health, I happened to have my annual with her. She spoke with me for an extra hour and gave me a list of about 7 therapists who took my insurance. My last therapy session is next month ❤ She also acknowledges how the medical field treats women of color espeically with childbirth. I told her she has to stay working for about 5 more years so she can be my midwife 😂

[@godfredprempeh6809]

That doctor is a DO. DO typically treat patients in a holistic way compare to MD

[@musthaf9]

A good doctor treats the disease. A great doctor treats the patient who has the disease.

[@clckc]

Doesn’t it just make you smile that Doctor Mike cares *so much,* you can see it is truly his passion and he wants to educate people and that is so amazing

[@lillybarnett4027]

I love seeing him happy😊

[@clckc]

@@lillybarnett4027 Me too :)

[@joshuawolfe7526]

When I was young I got really sick. Could not keep anything down. After almost a week of this my mother, who was a nurse, took me to the ER. They said it was the flu, gave me fluids via IV, and sent me home a few hours later. Two days later I was in the same state. My mother took me to the family doctor who took one look at me and said I had Lyme. No targets on me or any other outward signs so my mother was not sure that was the correct diagnosis. He put me on med and a few days later I was feeling much better. Close to 30 years later and I still see that same doctor. He is now over an hour drive but I told him I will continue to have him as my PC doctor until he retires.

[@khaotictrash]

If I was you I wouldn’t see any other doctor either, he saved your life. Hope you’re doing better now! ❤

[@elzhTlqkf]

I'm glad to hear you're doing better, but how do you know whether you had lyme and recovered thanks to the treatment, or whether the issue was already resolving by itself over time and just happened to occur after the lyme treatment?

[@berniethekiwidragon4382]

It is important to understand that people will not always get all the symptoms of a disease they have. Your doctor must have picked up on a pattern with your Lyme's disease.

[@emmyd811]

Fun little fact about the first hot take: Wales actually has the default of being an organ donor and you actually have to opt out instead of in, this was made because they noticed how many people actually wanted to be organ donors but obviously we don’t know when we die so they just don’t get round to like opting in

[@cassandram5232]

Same in France

[@margodphd]

As should be. Life of a person is worth so much more than a rotting piece of meat.

[@Oddballkane]

It's a thing in England as well.

[@alaskacosplay]

@@margodphdis there a form I could sign that says “I am not giving permission on harvesting my organs, even after death for personal reasons.” ? Mostly because I feel like I would feel incomplete in the afterlife if I was gutted like a fish.

[@CynthiaNephew]

Same in the Netherlands

[@123shris]

I agree with his comment on the cancer part. As a researcher in oncology, no one would be more thrilled than my entire field to find a cure. It’s such a complex disease that a lot of effort is required in finding new treatments, diagnostics and methods of mitigation.

[@kaijen2688]

Then please explain in 2020 a small company discovered a cure and was was quickly bought by Bristol Meyers who is now being sued by investors for not bringing it to market in two years.

[@IMthebiggestboy]

@@kaijen2688small scientific companies say a lot of stuff. It’s easier to get funding when there’s hundreds of articles about you “discovering the cure to cancer” than one paper about how your new chemo treatment is promising in animal trials.

[@AndragoniaFlash]

I feel like when Mike tried to explain the Cancer comment he really focused on not failing with his emotions for his Mother (God bless her soul) and keep it professional

[@gavinjenkins899]

What does personally knowing someone who struggled with cancer have to do with agreeing or disagreeing with that take or it being true or not? Corporations either are or are not dragging their feet, as a point of factual reality either way. Whether you know 0 or 20 people with cancer doesn't change the conversation.

[@patricialdv5220]

@@gavinjenkins899 because he's human? As a cancer survivor, regardless of the facts, it's still frustrating to read it. His mother passed away, they probably didn't everything in their power, I lived, they did everything in their power.

[@gavinjenkins899]

@@patricialdv5220 It makes the issue higher stakes for him, but it has nothing to do with which side is correct. It's higher stakes EITHER way. If the pharma companies are indeed dragging their feet, for example, then he should be all the more furious at them for doing so... and if they weren't, then he'd be angrier at the people claiming they were. Either way, that simply doesn't inform us about which truth is correct, though.

[@ramteja1550]

@@gavinjenkins899 you can LITERALLY Google the list of billionaires and rich people and VIPs and CEO's that died due to various cancers despite having access to the best Pharmas available... You just want to believe in a conspiracy because it makes you feel "aware" in your head

[@durt214]

​@@gavinjenkins899Are you serious? This video is about his reactions to people's medical takes, if he agrees or disagrees with them. Of course his answer is gonna be influenced by his personal experiences. If you want cold hard statistics and results instead of someone's pure opinions, read a medical study.

[@supermegaawesomeultragal7820]

I love how empathetic and understanding of all sides, Dr. Mike is. It's such a rare, difficult thing to find in people nowadays ❤

[@jokedebock2747]

Thank you Dr. Mike, for your stance on people with addictions. I work in a mental hospital where patients work so hard on finding a balance between living with constant psychosis and trying to self medicate it with drugs OR listening to our arguments of the harm those drugs do on their psychosis. The only thing that keeps me from giving up is understanding their struggle! They really don’t need other worries like how to pay their bills.

[@kingchris1233]

Thank you Dr. Mike. There is so much information out there and you set the facts straight.

[@catisyellen9877]

About the sleep thing: I can be sleepy as Hell all day but after 9 pm my body wakes up as if I got enough sleep. This happens so often, and no matter how many times I try to “fix” my insomnia, it always circles back.

[@Legendary_Starlight]

I’m usually tired all day and sometimes have energy to do something like make a bracelet, draw something, clean up something, etc before bed but then around 12am-1am I’m exhausted

[@Moraenil]

Same here, though for me it's as soon as it gets dark, which changes depending on the time of year. I'm like a zombie all day (regardless of how much sleep I may have gotten), then as soon as it gets dark my body and brain wake up, and I'm wide awake until the sun starts coming up. Bright lights even put me to sleep because my eyes just want to close to hide from the light. I have dim lighting in my house that doesn't do this to me. I'm the exact opposite of "normal" people. Of course most people get depressed in the winter because of the lack of sunlight....that's when I'm happiest.

[@oiseaufeu]

​@@MoraenilLook up on seasonal deptession. It's a real thing. I have that and I'm mostly affected by it in late fall. I feel more tired in October than I am in May. I also feel a lot more tired when it's dark cloudy outside.

[@theredhunter4997]

How you are describing the tiredness is possibility adhd as I’m fairly certain their circadian rhythms work differently. However, there are probably a lot of other causes, but I just thought I’d put it out there.

[@MarchOnRome]

Have you tried Seroquel at nighttime? It’s the only non-habit forming/addictive drug that works for my insomnia. Also none of the side effects of drugs like Ambien

[@DeathsHood]

Regarding the guy who sprained his shoulder: I had a similar injury when I did Muay Thai. Training against a heavy bag, and it swung back at me more than I expected, which seriously sprained my shoulder. The doctor who checked me out gave me a sling, but explained that it wasn't to be used 100% of the time, and that I should only actually use it, basically, as a reminder that I was injured and shouldn't be overworking the joint by training hard or lifting heavy. Very helpful and informative doctor. Loved him.

[@adough329]

I appreciate Dr. Mike’s take on charging higher insurance premiums. I would’ve felt the same way as that nurse, but I watch my aunt, deep in depression, and terribly overweight with miss managed diabetes sink under medical bills. Hearing Dr. Mike say that people who let go of their bodies and don’t take care of themselves are already in a dark place is a stark reminder to approach this understanding with grace and kindness…. A.k.a. the least harmful assumption.❤

[@HazardTube]

I rarely post - but felt the need to. Really impressed by you Dr. Mike.

[@sharonjohnson8406]

That ICU nurse terrifies me. Yes let's make medical access more difficult for at risk patients. "The beatings will continue until your attitude improves."

[@zacharykaiser5910]

I understand her sentiment somewhat but fear s/he is judgmental of his or her own patients. I also think it would create a system of lying to avoid paying bigger premiums, which could result in not the best care/outcomes.

[@tommoore2012]

People love to talk. I wouldn't be surprised if the nurse has heard hundreds of stories about people with bad health that actively chose to lead lives that would inevitably lead to said bad health. It would get immensely frustrating for a lot of people the have to care for them.

[@GoTron88]

I didn't like the examples she used such as smoking or poor lifestyles, and I know the answer should be that universal health care shouldn't be biased in that way, but then COVID made me kinda second guess that thought when it came to anti-vax versus the vaccinated, in that the anti-vax crowd literally brought the medical system right to its limit during the peak of the pandemic, causing a direct impact to my own medical care.

[@undefined69695]

I mean smoking already does cause insurance premiums to increase this isn’t as controversial as y’all are making it sound lol

[@tommoore2012]

@@GoTron88 collective immunity was proven to be vastly more effective at counteracting covid than the vaccine was. Not to mention all the new life-long health problems that so many people now have as a side-effect of taking an experimental vaccine.

[@TomHollandEdits]

Hot take: therapy should been available for anyone who needs it and anything mental health related should be included in health insurance because it is just as important as our physical health!

[@Agioia1-]

The brain is an organ just like the rest of your body organs, so when the brain is sick people deserve to be covered. Mental illness can be just as devastating to an individual as a physical illness.

[@paulettemart]

I believe mental health is included in insurance. I do therapy trough my insurance

[@Agioia1-]

@@paulettemart it is me too, only issue is a lot of insurance companies won’t cover you a certain amount of visits depending on your plans. I’m lucky enough to have a top tier insurance through my job but I know a lot of friends who struggle to find a therapist that their insurance will cover.

[@ellav9022]

It’s free in the UK

[@Swordsman99k]

This is unfortunately an insurance issue. Insurance is allowed to decide so many factors in healthcare, it's absolutely disgusting.

[@summitdrift8117]

I have to say I've been watching a lot of your videos lately and your patients are INCREDIBLY lucky to have such an intelligent, tactful, and empathetic doctor. You are a shining example of what is RIGHT in the medical system ❤️

[@LulzRoyce]

0:33 the fact that he has to put a loading bar to let the all the A.D.D. screen flickers know that "dont skip! don't skip! this will be fast!" says everything about the attention span of our society.

[@Meme-ci5uu]

Maybe it just says something about you, the bars simply good editing nothing more.

[@cubingperm6]

Hadnt even seen em, prolly a you problem

[@WittySomething]

You don't really understand had ADD/ADHD work if you're comparing them to "society's attention span".

[@zoericketts6721]

I think that Dr. Mike should make a mental health episode, he seems so sensitive and aware about the topics :)

[@sarahmoellenberg]

I hope he does! He is a great advocate for mental health and helping to break down the stigma surrounding it.

[@piotrdworowy183]

​@@sarahmoellenbergI think he does in the past ,but it was in form of inrerview with one other youtuber.

[@sarahmoellenberg]

@@piotrdworowy183 He has in a bunch of videos which I love. 😁 Since I spend most of my time in the community mental health world, I am always hopeful for more voices to amplify accurate information that is destigmatizing surrounding mental health.

[@avenged7peep958]

​@@piotrdworowy183wasn't it with Steven He?

[@piotrdworowy183]

@@avenged7peep958 I remember he refered to him as Steve-O, but you might be right.

[@parallelpinkparakeet]

Thank you for addressing the "all cancer can be cured if it wasn't for big pharma greed" take. I work for a research company that does verification studies on drugs and treatments, and so so so much of our work is on cancer treatments. Cancer is an extremely complex and varied disease that there's no one simple cure. Also it is a spit in the face to all that do work on these treatments. Many of us have family that ends up needing these treatments, and in some cases our own coworkers do, too.

[@tartantulakid666]

Out of curiosity, what is your opinion of the Warburg Effect and viewing cancer as a metabolic disease instead of a genetic disease? The model makes a lot of sense considering the correlation between people consuming more sugar AND exercising less with the increase in cancer. Mitochondrial dysfunction causing cell replecation makes a lot of sense.😊

[@parallelpinkparakeet]

@@tartantulakid666 Truthfully it's been a long time since I've been in the lab (I work on the financial side now.) That's something I haven't looked into to have a really informed opinion, but that does sound intriguing!

[@youtubehandlesareridiculous]

I hate the big pharma conspiracy theories. It's like the left wing version of QANON or talking about "the gays and trans are trying to convert our kids ." Yes a lot of pharma exists to make money and is greedy, but this is so reductionist.

[@AgentK-im8ke]

You guys should focus more on genetics the answer for a cure is there, we should be able to modify or enhance our own genetics

[@parallelpinkparakeet]

@@AgentK-im8ke It's up to our clients for what we work on, but I do see a lot of genetics work coming from them

[@LipstickDoll]

"you will ultimetely create a system that will target and really hurt those who are already hurting" - Such a good statement! It sounds so easy to let a smoker or obease person pay more, but the other side of the coin could have a tremendous negative effect on everyone.

[@suckit4669]

It would have negative effects on people who are smokers or obese, tf do you mean with everyone?

[@Kreepie11]

@@suckit4669 Oh sorry, do you have no smokers or overweight people in your life? Do you live in a vacuum?

[@boycrazygirllover]

@annihilam3408from what I understood, he was basically saying it wouldn’t work in today’s system. If there were proper affordable and accessible programs of rehab (or really any kind of support system) in place, I think it could work! I just think Mike was taking the pov that it would fail in the way our system is right now. Also when it comes to obesity, a lot of it comes with genetic predisposition as does addiction. It’s a fine line between personal responsibility and things that are out of your control.

[@suckit4669]

@@Kreepie11 I do have smokers and overweight people in my life, your point?

[@Kreepie11]

@@suckit4669 my point is that everyone around them will have improved experiences if they get medical help when they need it. So it does help everyone. 🤷🏻‍♀️

[@X_Nyxxie]

a year late, but Wales has an opt out system for organ donation, you are automatically an organ donor unless you “opt out” of it, rather than opting in! you also choose what you can donate, eyes, organs, skin, ect. (but i’m pretty sure that’s normal)- people do learn about this, so are usually aware that they have to opt out

[@starchaplin3882]

Thank you so much for talking about how not everyone has the same sleep schedule! I'm so tired of people acting like you're lazy just because your day starts a few hours after most people's. I still put in the same amount of hours and people should be grateful we're there to hold down the fort when they need something late at night

[@AymenDZA]

The thing with genetic testing also is that saying "10 time more likely" doesn't mean 1000%, it mean that... Let's say the average chance of getting a disease is 0.5%, then your chances are now 5%. Results like these scare people especially if it's a serious life altering/threatening condition.

[@RogerLackman]

Great point!

[@Darkspoon1506]

Unfortunately Alzheimer’s is quite a common disease, so an increase in relative risk is actually quite bad.

[@Gods_Real]

They alter our DNA without our consent.

[@nischay4760]

yeah, when I heard him just say 8-10 times, the first question in my mind was what is the statistical chance of getting Alzheimer's? Im sure that scene was scripted that way to raise the tension of that show or whatever it was.

[@user-AstroVespers]

As someone with health anxiety this was really helpful,thanks!

[@ignitionfrn2223]

0:15 - Organ donor by default 0:35 - Knowledge update 0:50 - Pregnancy questions 1:05 - The patient is always right 1:35 - An apple a day... 1:45 - Circadian rhythms 2:35 - Hypnosis 2:50 - Weight biais 3:05 - Genetic testing 4:05 - Overdosing on pills 4:10 - Free doctor schools 5:05 - Immobilization 6:30 - No nursing homes 7:20 - Most unhealthy , pay the most 8:15 - Celebrity doctors 9:05 - Cancer conspiracy 10:40 - Patient satisfaction 11:10 - Lime disease

[@HyperHrishiHD]

Ok with the rest when your don’t watching 3:29

[@dovesraven]

timestamp for pregnancy question is wrong btw

[@b.c.9358]

I think it's spelled Lyme disease

[@patrickthomas8890]

3:51 vitamin overdosing.

[@nguyenduchuy52]

bias too.. but yeah thanks for timestamp

[@mirza6472]

Being a bodybuilder and a powerlifter, I have sprained and injured my back quite a few times. The first time happened to heal quite fast but it caused me to have slow digestion and constipation (maybe there was a nerve issue) anyways, i went to top doctors for my stomach issues not knowing what is causing it and had to bear it for more than 6 months. It finally got fixed when I went to a chiropractor just to see if it can help. My last back injury was when I actually had severe pain so much that I couldn’t even move my body. The doctors suggested bed rest for 2 months but then again I went to my favourite chiropractor the next day and by the 4th day of injury I was back to the gym feeling 80 percent better and 100 percent better after the week.

[@Opet1027]

Knowing what’s on your patient’s mind is actually a good practice and it should be adopted by all doctors

[@phillipsouthard8285]

No kidding. He said that and I was like "damn, I wish my doctor would ask me that."

[@billbill6094]

The doctors who actually listen to you always seem to be the ones who help you out best and in the long term. Even if you can't diagnose yourself, they use that information you give them well.

[@phillipsouthard8285]

@@AsElfIsKnoT no, by asking your patients questions about how they’re feeling and actually listening 🤡

[@peterdobos1606]

it's kinda scary when an oncology nurse thinks cancer is 1 illness that could ever have 1 cure.

[@aliandher]

As a cancer patient, I would be worried having them treat me.

[@ladyjatheist2763]

who ever said or suggested there was only 1 cure? Over generalizations and simplifications will NEVER lead to honest conversation about such matters. There are thousands if not tens of thousands of scientists working on at least as many cancer variants and their potential treatments and "cures". Nice job throwing out the red meat there.

[@those.gamers.]

This was my first thought; cancer comes in so many different varieties

[@buca9696]

Nurses aren't the ones providing the treatment plan, so them believing in misconceptions is pretty irrelevant.

[@2Different4MeOwnGood]

There are already NATURAL cures for cancer. But what big pharma does is promotes all these charities that rake in billions for "cancer research" every year and continues to do so because it's a very profitable business.

[@nicolerao7883]

I appreciate the sociocultural awareness (& subsequently, compassion) in your response regarding the complexity of systemic issues that can lead to illness, obesity, addiction, etc. More of this in the world, please. 👏🏽

[@jackd9375]

Humanities major spotted

[@nicolerao7883]

@@jackd9375 Educator 😉

[@michaelwells9090]

I’m personally grateful for this content. Thank you. 🙏 it is difficult to make educated decisions in a world where one can choose so many professions. To discern misinformation is truly one of the biggest challenges we face in this era. Big Pharma has all kinds of people employed and each and everyone one of them is a person too. Just as vulnerable as any other human in the world.

[@jessicaboisabi7905]

“ Every decision that comes to your health is a balance of benefits and risks.” I like the way you put it

[@bleachnbones7107]

I absolutely hate when people shame others for deciding to put a disabled or elderly family member in a care home, saying they're abandoning them or that they're a horrible parent/son/daughter/sibling. Because the vast majority of times they clearly have absolutely no idea of what it means for a family to deal with that kind of situation, where everyone, and I mean truly everyone, has to step in and dedicate a good portion of their life to caring for that person. It's not just hanging out and spending some quality time with grandma, it's having no day off, it's washing them and cleaning them and feeding them and keeping them busy, happy and entertained 24/7, organizing meds, doctor visits and planning care turns, physically moving them if they're unable to, depending on the severity of their situation also dealing with violent outbursts and temper tantrums, getting insulted and pushed around, seeing their mental state deteriorate in front of your eyes while knowing you can do nothing to help them. It's feeling guilty and powerless, and constantly wondering if you're doing it right or making things worse. It's hell. You love them with all your heart but it's hell. And I will never blame anyone for deciding to take a step back and prioritize their own wellbeing and mental health. Because if I ever got to the point of being unable to take care of myself I would want my relatives to do the same

[@tollkirschearkham3508]

In a situation like this, I would also be worried that I don't have the stomach or the nerves to help with a person's care. I would be constantly stressed out about whether I gave them the right pill if any of them look similar, I absolutely could not give injections or do anything related to stuff like colostomy bags because I'd be afraid that I'd somehow hurt them or mess it up, etc. And it's got to be so embarrassing to have a close relative bathe you or wipe you.

[@margodphd]

100% agree.

[@bleachnbones7107]

@@tollkirschearkham3508 after a while you get used to the physical things. The hardest to deal with is the psychological stuff. Because not only are you dealing 24/7 with the regular hardships and challenges of things like dementia or other mental issues, but the person who's experiencing it is someone you love so it can get extremely difficult emotionally speaking. You eventually adapt and learn how to behave but you never truly get over it, especially when it's a degenerative kind of disease and you know it can only progressively get worse

[@galeforce3192]

I work in assisted living. I don't work at a home for geriatric residents, but even based on what higher-functioning residents might need, I refuse to judge anyone for making the decision for putting a family member into a care home. I imagine that it sucks making that decision, but if caring for this family member is affecting the quality of life of everyone else in the family, then it's probably time to leave this person's care to someone who's specifically trained to take on that sort of thing.

[@TeacherMaycol]

I've been going through something like this. My mom is 62 years old and she's got a plethora of things. She has rheumatoid arthritis (which we have been dealing with since I can remember) she's a pre-diabetic, hypertension and last year unfortunately she got the shingles which has been her decline. I'm a 28 year old guy and I'm pretty tough for any scenario but this last year has been hell for me. She needs help with mostly everything, not only do I care for her and take care of everything in the house I also have a job to support us. I'm lucky enough to work from home (I teach English and Spanish online through zoom) which I'm extremely grateful for because all of my students understand sometimes if I have to step out for a couple of minutes or if sometimes I'm just mentally drained. These past two weeks I've been considering taking her to an assisted medical facility where she can get 24 hour care and all of her needs are met. It's a struggle with my mental health because I wish she could be better or I wish I could give her a better life. I'm exhausted sometimes and I don't have family to lean on so all I can do is just work my ass off and hope that tomorrow is a better day. I truly wish things were different, it's my mom, she raised me as a single mom and gave me an education for me to be able to support her but sometimes it's too much. It's sad seeing your parent who you believed to be a super hero, seeing them all down and just sucked up by illness. Parents can't last forever but I wish she didn't have to suffer so much, I wish I could take some of the pain away, I wish she were happy and resting pain free. I agree with what was said and anyone going through something similar, sometimes we are dealt bad hands, it's not your fault or anyone's, sometimes life is just cruel that way.

[@miraculoushufflepuff9526]

Fun fact from a former insurance agent: smokers DO have to pay higher insurance premiums.

[@20thcenturyrelic]

Yes, and every company I've worked at for the last...I'm going to say 20 years, and maybe longer...required employees to sign a statement saying they weren't smokers. I want to say that one company even required it to be notarized, but my memory may be incorrect. And if you didn't, you paid higher rates on the group plan.

[@dalyb7555]

Corse smokers pay more, everyone knows this

[@billbill6094]

Yeah, people don't understand how leeches like insruance companies love to drain you for having bad health factors. Even if it's genetic or if you have a history of disease that is completely irrelevant to lifestyle choice or any sort of non-communicable disease like addiction or obesity.

[@Jauphrey]

As a healthcare worker I'm aware of this, but I appreciate you spreading this fact around. It's good to know.

[@StaceyJensenn]

there is no such thing in europe.

[@ashley_7]

I've been a patient in and out of long term disability care facilities, nursing homes, and hospitals...the abuse that goes on in those places is just a nightmare. I am absolutely terrified that I'm going to have to go back.

[@kelloggs7447]

Thank you so much for your perspective about individuals who make poor lifestyle choices not having to pay more for treatment. I am a Mental Health RN, many of my clients use substances and if I had lived their lives I might use substances too. More compassion and less judgement is always the answer ❤.

[@annacobb1140]

A lot of time it's mental health or economic issues that cause a lot of high risk behavior. It also struck me how similar to "pre-existing condition" that comment was, and I think we all saw how well that works

[@juliastockhausen7173]

You can also think about those who engage in high risk behaviors and then have accidents...should they be charged more for all those knee surgeries and concussion tx??

[@runarandersen878]

Thank you and true. I have read about the background of some people who have used heavy drugs or so on. It is a big possibility I might have done the same.

[@stevepest4143]

I think what you said needs some nuance. Compassion can hurt people. Just as judgment can help. You are judging people all the time on how well they fit in. It can help you correct behavior. Compassion can stop you from saying things they need to hear. Too much judgment blocks Compassion.

[@kelloggs7447]

@@stevepest4143 compassion for individuals with severe substance use and mental health issues is rare- trust me all they are told by society is that they are useless and a waste. Compassion to me is acknowledging the addiction but also acknowledging the pain that led to it. If you don’t deal with the trauma you can’t move past the addiction.

[@HagakureJunkie]

Hot take, if medicare covers it, all health insurance companies should cover it as well.

[@wgwells]

Thank you for being compassionate yet rational and straightforward. All doctors should aspire to be such. :)

[@PaulJones-br6uv]

The problem with our NHS are politically caused by a government that is ideologically opposed to the idea of a socialised healthcare. They started charging nurses for uni courses - now we have nurse shortages. We have a shortage of doctors so they reduce the number of training places for doctors. For 13 years they have given NHS workers below inflation pay awards. They are systematically undermining the NHS to create a demand for private healthcare.

[@EleanorCasson]

I whole heartily agree. Dr Mike your take on medicine amazing. The UK health system needs a bit more study. The current government had health secretaries that made no secret on how they don't agree with the NHS. They want a system more like the US. (Err no thanks) so the health service has been under funded for years. The cheaper to run services privatise so the UK tax payer is paying private companies that are making a profit on things that used to be done in house. It's a mess but it's a mess of the current government's making.

[@lzbgenna]

Exactly. I felt that his description of the NHS was reductive and came from a place of ignorance of the nuances on what has been happening on the UK.

[@norota8188]

Yes! How I think about it is this: The NHS as a system is amazing, The governments handling of it makes it dogsh**.

[@LordSStorm]

Okay can you prove the nursing shortages are caused primarily due to the cost of the courses, or are there other factors? I have to wonder how much of this is "undermining" versus trying to actually manage such a system. In my experience, management is complex and hard, and people on the outside rarely have an appreciation for the work that goes into it and it's easy for them to come up with something like "oh someone is undermining NHS" versus it's just not that easy. I mean just based on what you are saying. If you dont have a lot of doctors you can't pay to have un-used training facilities open. IDK.

[@bengoacher4455]

The NHS is better funded now than at any point in history. The fault with the NHS is that too many people require too much health care. 25 years ago people just died of things like heart disease and cancer. As medicine and treatment has improved, people are surviving these diseases more. Which is objectively a good thing, but that means years of expensive treatment and decades of rehabilitation and aftercare. That comes with millions of pounds of treatment, for each person. With an aging population, it means more people requiring long term rehabilitation care, and less people working and paying taxes to support that care. Not to mention the lifestyle choices that result in illness and injury like excessive drinking, drug abuse, obesity and smoking. It's a problem that can be solved if we fundamentally re-design the NHS. If we start charging people for missed appointments or non-essential emergency call outs. If we put money into AI technology and IT technology to massively reduce the amount of admin staff in all aspects of the NHS, from data handling to HR and finance. If we push big medical companies to make existing treatment cheaper instead of developing more expensive but more effective treatment. If we incentive living a healthy lifestyle through proper physical education in schools and targeting demographics most likely to become unhealthily fat, like middle aged men, and young minority girls in inner city locations. The problem with the NHS is not an ideological one, nor is it a funding issue. It's a culmination of increased demand through poor general health and an aging population, reduced workforce supply due to better opportunities in other sectors of the economy, and increased cost of treatment. If Dr Mike reads this, my medical hot take is that as a society we need to stop funding the development of treatment that is hideously expensive, and start making existing treatment cheaper so that it can be accessible to more people. Not just to release pressure on national health systems, but to provide cost effective solutions to private systems like the USA, and allow export to less developed nations where hospitals can't afford the latest technology and are using outdated equipment and medicine in the relatively poorer global south. More people will benefit if the cost of chemotherapy reduces by half than if the effectiveness of the treatment doubles, along with the price.

[@simhthmss]

7:45 drug addiction can often be caused by severe trauma and isolation, penalising them further will push them to the margins.

[@melissamorley8099]

As a person with a disability, I disagree with what was said here about group homes, and what is now called long-term care. Unfortunately, sometimes people do get miss treated in these environments but that is not always the case. I live in a group home right now and it’s not perfect but my needs do get met and for the most part, the people who work here are extremely caring individuals and I have rapport and friendship with them 😊 I have a physical disability and my parents wouldn’t have been able to take care of my needs safely for much longer. It was my choice to move out and I don’t regret that decision. It was the best option for me.

[@peterDcontact]

I am sorry that are going through that but you are in a different position that a lot of elderly people. Some of them can't even talk so they end up being abused and there is nothing they could do..

[@laurao3274]

​@peterDcontact That certainly does happen, unfortunately. However, most people who work in those places are caring individuals who are doing the best they can with the resources and staffing they are given. The problem is usually with the people funding the facilities, and something I've witnessed personally, which is the family members themselves. Oftentimes, the family members aren't willing to say goodbye when the inevitable happens, so they push for interventions that in the end are harmful to the patient. For example, when I worked in one such facility, there was a woman who was dying. She had been in and out of hospice for months. It was the very end, and she had stopped eating. Her daughter was demanding that we force-feed her, so she'll get something in her. The staff calmly explained to her that we don't do that. The daughter tried to say we were killing her by not force-feeding her. So yeah, it was a pretty crappy situation all around.

[@prettybyte6513]

My Aunt was badly injured and none of my family lived in her area. None of us could take almost a year off work to live with her. So she had to go to a long term facility who also took in PT and hospitalized people who need recovery time. She was delighted with her help but she noticed some patients who were mistreated when they tried to speak about their own frustrations. I am sure it’s frustrating when trying to accept their current life and increasing disabilities. When they try to express it, the nurses often shut down the patient to avoid a scene instead of talking. The long-term-patients then became upset and acted out more. They wanted to be “heard” but were instead sedated. She saw this over and over and begged us to take her home even though she knew she wasn’t up to moving around on her own yet. She did recover and looks forward to every farmers market.

[@stevepest4143]

​@@peterDcontactyou only hear about the bad so you get tge impression that all are bad. Makes more money for the media. You click on such stories more..

[@josephdahdouh2725]

@@laurao3274 I think "most" is an exaggeration. If you follow up, you'll find out that many that work there are actually evil. There is even video camera footage on youtube on how the elderly are treated in some nursing homes. As they are being abused, drugged... They were taken by the family of the abused elderly as they were suspecting that the elderly's personality completely changed after entering the nursing home. When they viewed the footage, the family felt embarrassed to have placed their parents in a home full of evil workers and took her out of that place. There is nothing better than devoting some time every day to taking care of those that took care of us for a long time since our birth.

[@1983Tabbi]

I feel like doctors should never dismiss a possible diagnosis based on age of the patient. Or dismissing a diagnosis just because its rare. My late husband was diagnosed with Charcot foot later we moved and had to change doctors. His new podiatrist said “you don’t have Charcot foot, its too rare”

[@bennu547]

You know what rare means right?😑

[@1983Tabbi]

@@bennu547 in this situation i took it as “i have never had to treat Charcot foot and don’t know enough about it”

[@moose5413]

@@bennu547rare means rare. it doesn’t mean never. what even is the point of this reply.

[@benny_tys1644]

I agree. While rare certainly doesn't mean it never happens, it's also not going to be the provider's first thought. When seeking to diagnose we order tests and do procedures that are going to rule out the most common issues first and then work our way down. But to say you can never have something because of its rarity is the wrong mindset to have, I agree.

[@youcansave15ormoreoncarins75]

​@@bennu547goofy reply

[@shroomyk]

Dr. Mike is always so understanding and amazing. I wish I could have him as my doctor. I love that he understands that people who might engage in physically unhealthy habits or behaviors are probably doing so from a place of mental pain and/or poor mental health. I am a smoker. I am constantly scolded by almost everyone I know. Yet I gave up drinking and other drugs, and smoking and sugar are my main crutches right now. I have suffered from depression and anxiety for most of my life, decades worth. I'm not stupid, I know excess sugar and cigarettes are bad for me. But it feels nice to have at least something that makes me feel a little better emotionally. I don't need *more* punishment in this life. I don't need to be reprimanded by loved ones and strangers alike. I don't need to be charged more for healthcare, etc.

[@lillybarnett4027]

Amen love. And fyi sugar is in almost everything so don't beat yourself up over it😂 AND everyone has something, whether or not they want to admit it to people is a whole situation in itself lol. Usually the ones who scold people have something they do that they're hiding😂

[@deanjohnson7283]

Thanks for confirming what I've been saying for years about the different sleep schedules (as its a controversial thing). I feel 10 times better when I stay awake at night and sleep during the day. I even work mostly night shifts at work, because I prefer them and my colleagues like that, because they don't have as much night shifts.

[@eugenianovillo4136]

I feel that there is so much compassion and understanding about both sides of the story in your answers... What a breath of fresh air! Thank you!❤

[@rservajean]

About the "who pays" take: in France, every worker contributes proportionally to his means and almost EVERY medical thing is 100% refund, whatever your situation, and whether it's surgery, physiotherapy, etc. etc. (while keeping excellence in hopistal care). And we are actually horrified when we hear about how it works in the US.

[@SR-cc1iy]

Isnt France severely short staffed and lacking medical supplies ? Could have sworn I saw a report about that recently.

[@spideyplaysminecraft]

​@@SR-cc1iyUS hospitals are also severely short staffed. It's been that way for quite a while now.

[@rservajean]

@@SR-cc1iy yeah but it's because of bad policies and stuff, nothing to do with the system in itself. To be even more harsh with the US, people say "the US do stuff nobody are able to, but at the same time they are unable to find a solution for something that the whole planet already solved", it's crazy.

[@WWYD0]

​@@rservajean"policies and stuff" would still be the system...

[@HeortirtheWoodwarden]

"Contributing proportionally to his means" just means everyone has half of their income forcefully taken by the State.

[@fullshewolf]

So, so grateful for your response regarding charging people more or less for healthcare depending on their lifestyle. You're absolutely right that a system like that would just serve to punish the people who are already suffering the most, and it's good to hear you spreading that message. On a somewhat lighter note, it's also great to hear you talk about how society's interpretation of what people's circadian rhythm should be isn't necessarily healthy for everyone! I really appreciate this as someone who struggles with the traditional 9-5 (aka 8-5 with an unpaid lunch) schedule because I naturally feel like going to bed later and waking up later.

[@EclipseWarnock]

Lyme's is such a scary thing, I had it and was some of the worst pain I had gone though, I got it thought it was the flu and went across seas after feeling "better" only to have an emergency flight home because how sick I got. I was lucky my doctor knew what exactly it was and gave me over 21 days of antibiotics (because the normal 14 wouldn't work according to him, just make it go dormant) so that way I didn't get chronic Lyme's. Granted my joints at 29 sent the best and I feel that it was due to the Lyme's causing some damage due to the pain I was in with my joints but seeing some suffering hurts because they weren't fortunate to have a doctor that knew enough to help

[@emmadunford6786]

As someone who is currently doing CME’s for my licensure, I can confirm that continued education courses are nothing compared to actual lecture or study.

[@patrickthomas8890]

There are plenty of them that involve lectures and study

[@dylanmikonowicz6021]

As someone who is currently in medical school, I can confirm that lectures are the most overrated piece of education. People fail to realize that as you get higher in education the teaching gets worse and you are forced to learn and teach yourself. Relicensures are perfectly acceptable forms of continued education

[@Skjoldolfr]

yuppp most of our CME's are power point slides. Not all, but a lot of them. Mike definitely oversold the effectiveness and depth of CME's

[@TheJingles007]

@@SkjoldolfrIt’s the same problem with continuing legal education (I’m a lawyer)

[@candicemorgan979]

CMEs are kind of a joke TBH... they need to make sure docs, esp old ones are up to date on the latest techniques and treatments via training... not a class/lecture they can pretend to pay attention in

[@BunniBeshara]

My kids’ pediatrician didn’t get the CME memo.. she missed my son’s SEVERE autism several times, despite me, non-doctor, bringing it up. “Boys will be boys, boys develop differently…” was all she said. Apparently she got her medical degree from my grandma.

[@sparrowtakesflight]

Autism is severely underdiagnosed, that's why it's one of the few places where self-diagnosis is not only accepted but relatively common

[@texasflood1295]

He didn’t say that doctors don’t make mistakes.

[@Elvoalven]

@@sparrowtakesflight I understand that not everyone has access to proper assessments, I just hope that people who are self-diagnosed make sure to make that distinction.

[@younglagx]

​@_Sparrow_Bailey_ you should NEVER self diagnose. Go seek a professional if you feel like you may have any sort of mental health issue. But self diagnosis should NEVER be done without consulting a mental health professional as soon as possible.

[@sparrowtakesflight]

@@younglagx self diagnosis isn’t bad so I wouldn’t necessarily say it should never be done. A lot of ND people tend to do it because neurodivergencies is such as ADHD and autism are severely undiagnosed so may be missed even if you working with a medical professional You can self-diagnose before you see a professional or while you are seeing one, you just need to make it clear that your diagnosis is just a guess (for example you can say “I probably have autism” or “I'm neurodivergent” instead of “I do have autism” and getting mad when people say you don’t)

[@NinyaBOT]

7:20 as someone who has struggled with drugs and alcohol and has a family history of those struggles and even death from it, I respect this answer a lot. It is very much not that simple. I both have an addictive personality as well as a lot of PTSD that contributes to the way I end up coping, and the fact of the matter is I'm not even enjoying myself as I do it. Being stuck in a cycle of addiction is miserable, you don't even like the way it feels after a while, and it can be insanely hard to resist despite that. I think moreso there needs to be better ways to help people quit and recover and stay sober

[@will9001asd]

I like this quote, that people who are addicted to a substance will want to keep taking them not because it makes them feel "good" but because it makes them feel "less bad".

[@lonelylama5222]

No, because it makes them feel good. If I take cocaine, I will feel good, even though I have a great life. If I eat an unhealthy cheese burger, I will feel good, in the moment at least.

[@bipstymcbipste5641]

Many addicts do it to numb the pain, ya know

[@Helixneek]

​@@lonelylama5222Sure, in the beginning you do it to feel good. But after the addiction sets in and you start getting withdrawal symptoms, you'd take it just so the symptoms stop and you feel normal again.

[@Dwagonier]

​@lonelylama5222 Then you've never done drugs, i get high all the time solely to be less "bad" why do i keep doing it? Because i feel, bad. Why do you think people do stuff in the first place, it may be peer pressure sure but that's not everybody. If you think your logic goes for everybody then your naive to stuff. I started it because i felt bad in life, still do it only because of that. I can go off it for weeks-months..however long but i come back whe things get bad, not because an urge.

[@rjspiteri5758]

I know its not the same, but I'm addicted to caffeine. I don't like how it makes me feel, I like how it makes me stop feeling.

[@rusk3986]

Man the Lyme disease one hits close to home. I worked as a field scientist in up state NY for years and actually got infected with Lyme disease 3 separate times. My initial bullseye was always very tiny if present and doctors often wouldn’t believe me, even though I *knew* what an infected tick bite looked like for me (wasting money I didn’t have and causing stress about the untreated illness I knew was coming). By the 2nd time, I knew what it felt like for me when Lyme disease was in the incubation phase (a dull, background headache with pressure behind the eyes, mild fatigue). I had to just wait like that until the horrible acute flu-like symptoms would hit a month later, and then I could finally get them to give me a round of doxy and a titer. Mercifully, unlike on initial infection, systemic Lyme disease covers my body in dusky bullseyes so I at least can get them to take me seriously. The third time I went in and again the urgent care doctor did not take my concerns about a suspicious tick bite seriously. Again she thought she knew better than the field scientist who had been bitten by dozens of ticks and chose to complain about this one in particular. And again over the following weeks the typical incubation symptoms began to appear. I learned from that that I have too much of a stiff upper lip, I needed to overstate my symptoms and the degree they were impairing me to get the treatment I needed. Doctors hate being told a diagnosis, even when you’re certain of it because it’s central to your job, so I lied and said the tick bite I was suspicious of happened long prior, that I was having bad joint pain, whatever it took for them to just do the test when I knew I had it. And of course, it came back positive, and thankfully the third time I avoided the horrible symptoms. I wasn’t going to risk my heart and brain health with any more severe infections for a doctor’s ego or carelessness. Doctors should really consider *who* they’re talking to. They think it’s anxiety, or me being a hypochondriac, when I literally spent all my time in the woods getting cuts, scrapes, bruises, pulling spiders out of equipment with my bare hands and pulling ticks off like it’s nothing. I hate the doctors office (in no small part because of this). I’m not going to come to the doctor unless it’s serious. If you’re going to charge me $170 for 10 minutes of your time, the least you can do is take me seriously.

[@pandabytes4991]

For me, being placed in a group home has not only been the best thing to have ever happen to me, but has been a literal life saver.

[@mrbear1302]

I am so happy this is your situation! I have worked in several facilities(through agencies) and have seen A LOT of bad things, which I tried my best to correct in the short time I was in them.

[@MrZoomah]

I worked in child protection group homes. For me it comes down to ratios and dynamics. When a system is under strain they put unsuitable people together. Placements are done more to benefit the system than the client. Out of the 35 kids I cared for 3 left better off mainly due to dynamics. I'm now a foster carer so I can choose the dynamics rather than rely on the system.

[@melanyxace]

Yeah, it's people looking at the wrong part of the issue. Group homes are not inherently bad. it's the people that work in them, but then again that's also not the issue. often it's funding and care-related (long hours, too many patients to caregiver, insurance, etc ) at the heart of the issue.

[@MsMiDC]

In the Netherlands if you are older than 18 and are currently living in a county of the Netherlands, your default position on the donor registry is as a donor. You have to specifically go out of your way to opt out of this.

[@rlpupdates]

Thank you for taking on the cancer myth as a cancer survivor this conspiracy drives me crazy as it makes no sense but does such damage and could put cancer patients at risk.

[@atom12015]

There were no weapons of mass destruction in iraq. They had something to hide so they made up an entire war. They couldn't care less about us

[@jessmallory6591]

I’m also a caner survivor and I completely agree. Makes me so mad.

[@C0mpetable]

​@@jessmallory6591so it's not true?

[@trublacking8572]

Yeah you don't know human greed then and you are fool I'm glad you survived but still dose take from these ppl lying about it

[@elvisrodriguez2935]

You have a pure soul unfortunately you too naive to not believe that greed and money runs the world

[@maggiec5311]

This man is super smart and has high common sense. I wish all doctors were like that.

[@TheMrCC21]

This must be your first Doctor Mike video you've watched. He's all about fact based research, debunking myths, and such. Saying you wish all doctors are like him is ignorant. There are lots of doctors around the world who are smart and have common sense. You'll find many on KZbin. You just have to look.

[@fellowdanbarber3323]

Do you have ANY idea how difficult it is to even get into Medical school??? 😂 They’re ALL smart. Hahahahha

[@dr.rebeccamd]

Makes sense right?

[@nicolad8822]

How much Doctoring do you think he really does?

[@KeariGaming]

@@TheMrCC21 facts

[@amalinafaruque329]

Thank you so much doctor mike for teaching a lot of ordinary people like us about these medical issues and problems with solutions. You're not only giving us entertainment but also doing a noble task of spreading awareness

[@Namrevlis1938]

I was born and raised in the USA but now I live in Turkey where there are two universities that have medical schools that are very highly rated throughout Europe. They are free of cost to all students including non-citizens. Students do need to pay for books and personal items. The medium of instruction is ENGLISH.

[@MsSmontalvo]

I can relate to the group/nursing home paranoia. My grandma had Alzheimer's and we couldn't give her the 24 hr care she needed anymore. So we put her in a home. After the first visit, my mom was concerned about how it was being run and reported it. The investigation led to it being shut down! Very quickly, too. This happened 3 SEPARATE TIMES!!! We had to search so far away from our town to try to find a place that wasn't an abusive/neglectful nightmare, which only made it scarier since the farther she was from home, the harder it was to check on her often. So yes, unfortunately, for a lot of people it winds up becoming a choice, not between the lesser of two evils, but between equally bad situations. She died before we could figure out a way to bring her back home while still being able to afford to both live and take proper care of her. Those places need more regular and thorough inspections, with greater consequences for infractions. Nobody should have to go through what my family, and especially my poor grandma, went through. The system sucks.

[@oceaneo4603]

I'm on the autistic spectrum. It's crazy how some people would show their true color to me 'cause they think they could afford it. So it's not only the nursing home, child care center too, and any place someone would be vulnerable. I've heard story of people whom realized the nursing home they placed their parents weren't good but wasn't able to get them out of there, even with videos !

[@elliejane7821]

As a Certified Nursing Assistant, I agree fully with what you are saying. The system is so unfair. I am currently working at an assisted living facility, and the conditions are so heartbreaking. It’s so glaringly obvious how greedy corporate is there, and so infuriating how they are unwilling to provide enough CNA’s to staff the building. We have a ratio of 2:60…… 2 CNA’s to 60 Residents! That is completely insane and impossible to expect the best care if we don’t have enough time, and CNAs to do so. I LOVE the residents i care for, but it’s so unfair to them, and the CNA’s who work there, that we have to be deprived because corporate wants all the money to themselves.

[@sillykyle17]

The biggest, most obvious flaw in the "charge people more for bad health behaviors" idea is it would cause an enormous increase in patients lying to their doctors about their lifestyle and behaviors, leading to much worse health outcomes for a lot of people.

[@oceaneo4603]

Oh yeah ! All kinds of tricks would be find to trick the system, instead of use it to be healtier. 😶 Or may be I've around too many toxic people.. yeaaaah... nope ! 😤

[@lonelylama5222]

If I look at someone and see that they are fat I will automatically know they have poor eating habits.

[@jeffpenst5861]

It’s probably a good thing you’re not a doctor then.

[@Arcywyrkenjoyer]

@lonelylama5222 or maybe have one of the other conditions that cause obesity

[@AnikaBren]

​@lonelylama5222 You would be wrong at least 30 percent of the time.

[@tkrause1116]

@Doctor Mike, as someone who works with women in recovery, I really appreciate your words about marginalized people. Trauma and addiction are so complex and even more common in demographics like Indigenous peoples for many reasons, especially in connection to generational trauma. I hope that the person who posted that - and anyone else who agrees - will take time to educate themselves. With great thanks from a support worker in the DTES of Vancouver, BC.

[@aqwaa3057]

As an employee of Bayer, one of the worlds largest pharamaceutical reaearchers and producers, i am just sick of people hating on pharma for being profit oriented. Like how else are we supposed to finance the billions of dollars worth of drug Research and Development. Its just rediculous how objectively wrong some peoples perception of medicine are. Curing diseases is harder than you think folks…

[@rachelmarkham6286]

The sleep topic - YES! I have been fighting my natural circadian rhythm most of my adult life. It got the point where I couldn't fall asleep until 2am and have to be up at 6:30 am. I would do this two days in a row and would pass out at 7pm on the third night and sleep for 12 hrs (I have a 9-5 job). My physician sent me to a sleep doctor and even though I am on sleep medication, I am able to fall asleep at a time needed for my work schedule.

[@NotTheSameAsIWas]

Thank you soooo much for remembering the guardian caregiver!!! The world is not made for our 12 year old non-verbal, non-mobile daughter and even though we will do EVERYTHING in our power to keep her with us, it is so incredibly difficult and those difficulties compound as she gets older. And honestly, all the work we do to give her the best care in our own home will be for naught if we die because the chance someone will step up is one in a million. Ask me why. People have no idea.

[@sophiaisabelle027]

We appreciate Dr Mike's insights. Seems like he's genuinely invested in every single topic he focuses on.

[@Fbi5333_boi]

yuh 🔥

[@BrandelSaundh-i7p]

@@Fbi5333_boiyech

[@lillybarnett4027]

He genuinely cares. You can see it in his behavior, actions, and eyes😊 he's got a good heart❤

[@subhojitdas264]

agreeded but not with the free schools...edu has to be free

[@CyrilleParis]

In France, being an organ donor (when you die) is the default. But there are bounds : first there is a national registry of people who don't want to be a donor (it's free and easy to register). After consulting the register, the doctors ask the family and friends if the deceased has not written or expressed orally that he wouldn't want to be a donor. If there is a written proof, no problem. If it's orally, the person saying the deceased had said he wouldn't has to tell the doctors in what circumstances he did it and sign a transcript of what the deceased said.

[@wverms]

In the UK, they aren't struggling to find funding, they are *being underfunded*. A slight difference.

[@quinnquitars]

Exactly. Crazy how he pointed to the UK unironically. The evidence supporting socialized medicine is overwhelming.

[@jishanborno]

​@@quinnquitars At least you don't have to pay hundreds or even thousands of dollars for a simple hospital visit.

[@analogueoverdigital929]

​@@quinnquitarssocialized medicine is not the answer😂. The UKs Healthcare system is terrible.

[@quinnquitars]

@@jishanborno wtf r u talking about that’s exactly the case under private healthcare

[@quinnquitars]

@@analogueoverdigital929 again looking at UKs healthcare is crazy, not exactly the beacon of socialism. Tell me why countries with socialized medicine all perform way better than countries without in terms of healthcare outcomes. America is literally near the bottom of the list of best healthcare systems among developed nations

[@mainstreammutant]

I was filling out the paperwork to get my 100th MRI (probably literally, i have like 3ish per year for 30ish years to follow a my tumors for a rare disorder) and i see these questions on an outpatient facility's questionnaire "Q3: what do YOU think is wrong with you?" "Q4: What does your DOCTOR think is wrong with you?" And i laughed so hard! 🤣

[@MakeyJu]

I mean that's pretty smart of them!

[@v3ru586]

Most appointments with mental health professionals started with them dismissing my self diagnosis. They ended with them asking me what I think is wrong with me.

[@FTZPLTC]

The opt-out organ donation law is in place in the UK as of 2020, which is pretty cool. People with strong opinions about organ donation tend to be the ones who want to opt-out, so they're more likely to actually do so. So it's the best way of doing it really.

[@Zazezoo]

I think They’ve recently changed it, now it’s opt- in.

[@FTZPLTC]

@@Zazezoo Nah, it used to be opt-in. Opt-out is the current system.

[@juliamrtn4837]

in Austria as well

[@AliMarie022]

The interesting thing is that a lot of countries with opt in and opt out systems aren't finding a great increase of organ donation, partly because the families of the deceived can still veto that decision, and partly because the infrastructure of collecting, transporting, testing, cataloguing etc of transplants doesn't get increased funding so they can't do many more anyway unless that particular government dedicates funds to increase all of the background logistics. But they often seem to forget that bit, unfortunately that boring but essential paperwork and logistical part doesn't win as many votes. Politics can be quite shallow like that, sadly.

[@FTZPLTC]

@@AliMarie022 - I'm not sure how much right the family has to veto, but tbh most people in the UK have never been opposed to organ donation anyway. I suspect hospitals don't fight families on the relatively rare occasion that their wishes seem to conflict with the deceased's because, as you say, there's plenty more organs available. You're of course right about the logistics aspect, although that does seem like a very fixable problem. This is a relatively recent change to public policy, and tbh, the past three years haven't exactly been normal ones for our healthcare system - a lot of resources will have been taken up by COVID, so I don't know how much people will have been doing in the way of transplants. Still, I'm hoping this does apply to blood, as there definitely were shortages of blood of certain types at one point.

[@darealgalaxycat_yt]

I love how dr mike just races through this, while having a flu/cold

[@sehmcgib]

Dr. Mike's answer to the ICU nurse's hot take on smokers, etc.... could not agree more and it's moments like this that make me love his videos!!!!

[@apexnext]

I am disgusted, but not surprised at the ICU nurses comment. In recovery, every single addict knows the absolutely worst place to get any help or understanding is the ER/ICU/regular hospital. It's to the point I've told every family member and friend they will need to fight for me if any medical emergency happens, because the nurse's and doctors in the hospital are sadistic. They _want_ to see addicts suffer needlessly. *Every* addict knows and has felt that exact stigma. It's mind boggling knowing they took a hypocratic oath and treat other humans this way, but again, I'm not surprised in the least. 😢 I must also mention the countless nurses, doctors, and counselors that have helped me in recovery. From programs to clinics they gave me the tools I needed to save my life. Just never expect to be treated like a human at a real hospital.

[@GogiRegion]

@@apexnextAnd even if they say they won’t tell the police, they very well might! And not everywhere has protections for medical emergencies, meaning you CAN BE ARRESTED FOR HAVING A DRUG RELATED MEDICAL EMERGENCY.

[@jacobjester4761]

​@@apexnext I mean if you had to deal with addicts coming in and taking bed space simply because they think they can get a hit for complaining about pain while there's sick kids and elderly people in the waiting room you'd be pretty upset with them too...

[@rjspiteri5758]

My knee-jerk reaction was to agree with the nurse, but Dr. Mike changed my mind, quick.

[@soccerguy2433]

A DUI kills a person but survives.. should they not pay more for their care as a survivor?.yes.