What Kills Us? How We Understand Risk.

[@adamg8974]

I think you might be the first health professional, that wasn't a psychologist, mention that suicide is the number 2 killer of children/teens. Thank you. We need to place a greater emphasis on our mental healthcare in this country, it saves lives.

[@Asrahn]

Indeed, there's an overarchingly exaggerated focus on the biochemical among health professionals. I was happy to hear this too.

[@brian77771]

considering that younger kids and young adults are generally more healthy than adults or old people it would make sense for homicide and suicide to be the number killer in that age group

[@HyperSpify]

Want to place greater emphasis on mental health? How about make it FREE in the US? It's completely unaffordable under the current system without insurance, which means you need a GOOD job or you need to be permanently unemployed so you can be on Medicaid. Or if you're a kid you need your parents to be in either of those camps.

[@citizenengagement]

I feel like this video needs a pregnant lady version. There are SO MANY things that pregnant people are told to stay away from 'just to be safe'. It's so difficult to interpret the risks. I'd love to see a video that gives a research-based look at interpreting risks in pregnancy. Because I don't know if you know this, but there are women out there who experience guilt during their pregnancy for sleeping on their right side or eating peanut butter.

[@healthcaretriage]

Great idea.

[@tymo7777]

This is the single best KZbin channel that I've ever watched. Entertaining. Smart. Important.

[@Dr_Bille]

I just found it today, and so far, I concur. Alot more people need to watch these videos

[@rogerwilco2]

I wouldn't say it's the best, but it is one of the best. I found it today an immediately subscribed.

[@pattydiep]

This is the best one by far. Simple. Clear cut. Comprehensive.

[@Ral9284]

(05:52) _"You wanna know what kills kids? Accidents, then suicides, then homicides."_

[@ajnode]

"AccidenDENTs" - What the fuck?

[@Ral9284]

Fixed, ajnode.

[@CreightonMiller]

Doctor, you are the fucking man.

[@healthcaretriage]

Thanks! :)

[@GrymShip]

I've been mostly a lurker on youtube since '08 and I swear this is one of the best channels I've found on this website to date. Thank you guys for dispelling the rumors and pseudoscience surrounding healthcare.

[@Discitus]

I like the airplane example because it shows how complex risk actually is. It might seem obvious at first that a certain safety feature would reduce injuries and fatalities, but once you consider the impact on human behaviour, the situation is actually made worse. People may make different decisions as a result of the change, consciously or not. I once studied the impact of health insurance on the overall health of a population, which is an example of this. The tl;dr version is that the overall impact is positive (should be obvious, really), but there were many negative impacts to account for, such as a reduction in low-impact physical activity among elderly people who don't regularly see physicians. You have to factor in impacts from human behaviour, and they're not always obvious or rational.

[@JustAnotherHumanist]

Please never stop posting videos. I LOVE this channel. Had no idea about those stats when it came to death in youths.

[@krystalburcham6294]

I strongly agree with Dr. Carroll. We often fear disease and cancer (as we should) as if that is the only thing that could possibly go wrong in our lives. People need to understand that ANYTHING could happen in the blink of an eye putting us at risk for death. We often, also, fear things to cause death that have the most minute risk of actually occurring; or at least occurring less than others. For example, we have no hesitation when it comes to hoping in the car to go to the supermarket and such. But most people have such a fear of flying that they would rather drive long distance. In all actuality, your chances of dying in a car accident are much, much higher than that of an airplane wreck. The question is why?

[@UnknownXV]

It is very easy to get caught up by fears. I think, for instance, the TSA is overstepping bounds. The odds of dying due to a terrorist strike are astronomically low. There are so many irrational fears that we let justify our opinions on (and policies), that scares me. Yes, our irrationality is what scares me.

[@celinak5062]

UnknownXV +

[@Praptolium]

This is like one of my top 5 favourite youtube channels. Like legit, this is so important, so well presented and just so informative.

[@zachvanalst9805]

I always have believed that the things that kill us are those things that we never think of such as car wrecks, worry, and etc. Many worry about about cancers and don't think about car wrecks. I believe this to be very factual and true because these are the things that always come up and get people when they are looking in a different way or worrying about risk of something else. These things are always the heart or main reasons behind why so many people die or have died. Accidents are more prone to kill then the diseases that people get. I think this video is very true, especially about heart disease. I have also seen people die from something happening to their hearts and caching them off guard when they thought something else would kill them or they had to worry about.

[@AlanmanAaron]

One thing: it doesn't matter what you believe in the face of factual information and hard data

[@ChrisCollins]

I had no idea about the statistics on causes of children's deaths! This is why I love this channel.

[@AdamHeidingsfelder]

I believe its ALL accidents, not only auto accidents. Great video.

[@MrHeavyParty]

Thanks to the Doc i got insurance and i'm seeing a doctor for the first time in my whole life (if you don't count emergencies). Thanks man, you're making a positive impact!

[@michaelcook]

There's something so wonderful and soothing about his belligerent tone. Please, please keep it up. Actually not being sarcastic. This all sounds sarcastic but it's not.

[@michaelcook]

?

[@mirandacooks]

I agree, it makes me feel like there's someone out there defending us against medical stupidity. Very comforting.

[@IceMetalPunk]

I'm not so sure most people CAN think rationally. When it comes to safety, people will fear the slimmest chance of danger and ignore the much higher chance of safety, because there's less emotion in being safe.

[@tetsubo57]

I have a coworker that brushes and flosses his teeth everyday at work. He doesn't wear a seat belt.

[@CliffRoth]

Do many people wear seat belts while brushing and flossing?

[@InorganicVegan]

tetsubo57 Why?

[@tetsubo57]

Cliff Roth I recommend it. Can't be too safe.

[@KincaidBass]

He cares about his aesthetics not his life.

[@ryotoaoki]

Garrett Bohannon Do consider that you can lower the risk of heart disease by maintaining dental hygiene, though it's impossible to know that particular coworker's motivations without asking him.

[@KathrynsLife]

This is so great! I know of people that are afraid to fly but will drive 14 hours (throughout mountainous terrain) in the winter to avoid it.

[@mlemleh]

This guy is talking a lot of sense. Such a rarity...

[@TheBetterGame]

Best part of Sunday!

[@ofShard]

Thank you for putting out this video! I get frustrated with all the scare tactics and disproportionate spending this kind of emotional, irrational reaction to perceived risk causes...

[@JanelChristensen]

Another amazing video, as always. I also had a couple ideas about future topics for videos someday maybe: Advance directives - My brother-in-law and I were talking about them the other day, and while we Americans seem to have a complete and utter fear of our own mortality, it would make things so much easier if everyone had one. Your thoughts? Pharmacy related - Explain formularies, tiers, prior authorizations, etc. and the reasoning behind them. I work as a pharmacy tech, and I have to explain this to people every day because no one understands it. Anyway, thanks for making the great content. Keep it up!

[@Badmunky64]

Why are you not on more mainstream media? I would help you fund a kickstarter if it means you'll educated people who only watch mainstream media.

[@JIYkp]

Because the mainstream media makes its money by sensationalizing those things which scare us most.

[@ghuegel]

A good related topic I'd like to see a video (or part of a video) about is absolute vs. relative risk. Misunderstanding of this topic leads people to get frightened by misleading headlines like: "The flu vaccine doubles your risk of Guillain-Barré Syndrome!!" A doubling of risk (relative risk) seems like a big deal, but if the disease is rare, then the absolute risk is likely so low that the 'risky' behavior shouldn't be avoided. To be clear, I made up the numbers there and I don't think vaccines actually influence the risk of Guillain-Barré Syndrome.

[@balderdash707]

I love these videos! What can I do to make sure you keep making them?

[@itisdevonly]

When you asked, What's the number one killer of women? I said heart disease. When you asked what's the number one killer of kids? I said accidents. When you asked what's the second killer of kids? I said suicide. Apparently, I do have a reasonably good understanding of what the most common causes of death are. This is a very good video, with an important point about rationality, and I agree with almost all your points. But there is one point I take issue with. I don't want that to overshadow my positive review of this video, though, so I just want to make it clear before I go on my rant, that I really did like this video, and I think this series is doing a great job and an important service in education. That said... The one thing I really take issue with is your claim that we know how to prevent heart disease. I'm not saying there isn't a good deal of research on the matter that we can learn from, because there is, and I've looked at it, and there definitely is a lot to learn from it. What I'm saying is that what's promoted and typically believed among the general public, and even among health professionals, involves a lot of bullshit, because it's based on cherry-picking through the research and favoring epidemiological studies (rife with healthy-user-bias confounding) rather than RTCs and an objective and impartial look at the research. Most people *don't* actually know what lifestyle modifications will help them, because the so-called experts are promoting misinformation (sadly, this includes the AHA, which you would think would be a bit more reliable, but sadly, their guidelines don't align with the research[1]). I find that infuriating, because these are the people we trust, and they should be providing accurate information, but they're not. In fact, I'm dreading the day you decide to post a video on diet and the prevention of heart disease, because I anticipate you're going to say the same old, thoroughly debunked yet nevertheless promoted low-fat (or low saturated fat) dietary advice with mentions of the importance of lowering your cholesterol. The things that get promoted that people end up believing as being ways to reduce their risk for heart disease are: taking statins, avoiding saturated fat, and keeping your total cholesterol level low. This is in spite of the fact that the research has shown: Statins are not effective as a form of primary prevention, they've only shown a positive effect in a small subset of men, and they have never been shown to extend the lives of women[2]. Meta analyses have shown that saturated fat has no relation to heart disease (the risk reduction in polyunsaturated fat swapping was due to the anti-inflammatory effects of fish and omega-3's and substituting with carbohydrates doesn't improve risk)[3][4]. Other blood lipid measures (like TC:HDL) are way more predictive of risk than total cholesterol alone[5], which turns out is barely predictive, and not really what we should be focusing on. Moreover, high cholesterol is not a disease in and of itself, as so many people seem to be treating it; it's a *risk factor*, an indication that something is wrong, not necessarily a causal agent in the disease. Evidence shows that heart disease far more likely due to oxidation of LDL particles. And let's please quit focusing on the calculated LDL value too, because that's not very meaningful either. You know what is? LDL particle size and count[6]. But that's rarely ever even tested for! I get that it takes time for the findings of science to be implemented practically, but can we please stop basing our ideas on heart disease on 40-year old research rife with methodological flaws while ignoring the more recent, better-controlled stuff that debunks it? Probably the only thing that is well known is the benefits of exercise. But even then, I don't think people realize what type of exercise helps. You don't have to spend hours at the gym or run half marathons. Just stop sitting all the time! Walk for an hour a day. Not that it hurts to be fit, but just being physically active throughout the day helps, and I don't think most people realize that and think they have to kill themselves exercising to see an improvement in health. I'm sure you and I agree that some of the best measures to take are cutting out junk food, reducing sugar intake, and just focusing on eating real food with copious fruits and vegetables instead of processed, nutrient-void crap. But I don't think most people realize that, because the message promoted is all STATINS, FAT, and CHOLESTEROL. Honestly, I could go on (and reference quite a few more sources), and in fact, I've written a 20-page essay debunking the low-fat myth, but it still needs some more editing and refinement before I'm willing to release it. But I'd be happy to share it with you when it's done. Sources 1. www.nutritionjrnl.com/article/S0899-9007%2811%2900314-5/fulltext 2. chriskresser.com/the-diet-heart-myth-statins-dont-save-lives-in-people-without-heart-disease 3. www.karger.com/Article/Pdf/229002 4. ajcn.nutrition.org/content/early/2010/01/13/ajcn.2009.27725.short 5. www.thelancet.com/journals/lancet/article/PIIS0140-6736%2807%2961778-4/abstract 6. www.ncbi.nlm.nih.gov/pubmed/11521128?dopt=Abstract

[@Flavum]

Facts, science and reason RULE. The best channel on KZbin.

[@beck5209]

I wish you would make more videos, about anything really. I just like to hear you talk!

[@DaveLillethun]

Thanks for a great video, and thanks also for providing links to the detailed statistics. I was poking around those a bit and noticed a couple things. Of course, anyone who knows what they're talking about better then me may correct me if I get something wrong. I'm sure of the numbers, but interpretation of what they mean is required, and I admit I didn't read every word of the rather lengthy document that I got most of my number from... ;) First, it looks like although accidents are the leading cause of death in young people, it's not because they have any more accidents. Based on the death rates (rather than percent of deaths), it looks like the accidental death rate bounces up and down a bit as you look at different age groups, but tend to remain around moderate or "middle" numbers. On the other hand, death rates for heart disease and cancer (all cancers combined), which are the leading two causes of death overall, both have a steady climb as you increase age groups. So it appears that older people don't have fewer accidental deaths; they just have a lot more death from other causes, thus making accidental deaths a smaller fraction of all deaths in the age group. (It appears similar logic applies to suicides too.) Second, (my one point from a different document) although Dr. Carroll points out that breast cancer isn't even the leading cancer (as in killing the most people) among women, that only appears to be true overall and for older women. Breast cancer does appear to be the leading cancer among young women (less than 45 y.o., per the statistic). Other than that one specific category of women, though, lung cancer does indeed appear to be the leading cancer for both men and women, just as Dr. Carroll said. Third, (back to the main document now) although Dr. Carroll accurately stated that heart disease kills more people than all forms of cancer combined, the difference (as a percentage of all deaths) is pretty small between these #1 and #2 killers, compared to the gap between #2 and #3. Finally, Dr. Carroll didn't address deaths of people in their middle ages (e.g., around 25-45 or so... people who are no longer children by any means, but are not "old" by any means either). From the statistics, it appears (as you might guess from Dr. Carroll's presentation) that heart disease and cancer (all types combined) gradually overtake accidental death as the leading cause (percent of death) as age increases. However, it looks like for people in some range of "middle" ages, cancer actually kills more people than heart disease. Then as people become older, heart disease overtakes cancer as the leading killer. (Of course, that's all forms of cancer combined, not any one particular type.) This prompts a few questions: Looking at a more detailed age breakdown, at what age would we first see heart disease and cancer (all forms) combined killing more people than accidental deaths? At what age would we see either one by itself overtake accidental deaths (i.e., accidental death is no longer #1)? At what age would we see both heart disease and cancer, each individually kill a higher percentage of people than accidents (i.e., accidental death is #3 or lower)? At what age would we first see heart disease kill more people than cancer (all forms combined)? Also, since lung cancer is the leading killer among cancers, I'd be very curious to see that statistic broken down by smokers and non-smokers (and perhaps people who used to smoke and then quit). I'd like to know, as a non-smoker who has never smoked (not even once), how much of a concern lung cancer is for me.

[@grindsession24]

I love the channel and agree 100% with this video. Turbulence related injuries seem relevant to this topic of child safety and child restraint requirements on planes. While the injuries aren't life threatening I think we all agree they aren't trivial. I would start considering driving over flying if I had to accept the risk that I might see somebody's infant ricochet through the cabin every time there was severe turbulence.

[@kellyfish920]

As someone who lived in GA you are more likely to get attacked by a wild boar/pig then die or get into a plane crash. Also as someone who's flown many times, there is nothing scarier then trying to outrun a wild boar on a four wheeler in the middle of nowhere, in the middle of humid summer night. Well almost nothing scarier. Been in scarier situations. Like that time my friend got a Brown Recluse bite or that time I saw a pack of coyotes walking across the road a neighborhood away from my house coming home late one night. And possums hissing.

[@Hades3k]

This is a great video to help give you some perspective because it is pretty hard to know what is the more important thing that will kill you. Everything will kill you but it's hard to know which one to try and prevent when all the foundations and charities are yelling theirs will kill you more than the other one. It's understandable why people worry more about breast cancer than heart disease, or want child seats on planes but don't worry about cars. It's because they don't have to do anything. Breast cancer, prostate cancer and car seats on planes are a mild inconvenience but having to work out and eat right, or watch my kids more often. Now you're asking a little too much.

[@Kat22Kit]

IMHO I think more people are not afraid of dying, its living a miserable life of suffering that scares people the most. A heart attack, that's a few minutes till death, cancer is possibly YEARS of wasting away, slowly, painfully, dying. Now which would you rather happen? Not saying its rational but none the less realistic.

[@disrhythmics]

That's actually another major misconception that people have. If the heart attack kills you right away, then sure, it's a quicker and less painful way to die than cancer is. However, many, many times, heart attacks, coronary artery disease, high blood pressure, etc. don't kill you right away. Instead, you survive them, but they damage your heart, giving you problems like heart failure--chronic and incurable, resulting in frequent hospitalizations, inability to breathe normally and manage simple activities, and medication lists that are pages long. Heart failure also often leads to kidney failure and arrhythmias that make you more prone to clotting, stroke, etc. As a nurse in a hospital, I see way more people dying slowly and miserably of those things than of cancer.

[@ericwright7643]

I agree with you that most people are more afraid of the idea of suffering. Just wanted to point out that a majority of people who have heart attacks survive. Congestive heart failure is a very possible outcome for those who survive and, to put it lightly, it can be a lengthy and unpleasant way to go.

[@Kat22Kit]

disrhythmics Eric Wright Oh I know the actual medical outcomes, the average person on the street? Not likely. Education in the US isn't a major priority.

[@MrRizeAG]

Spoonie Beauty The US has education? Where do I get some?

[@thescowlingschnauzer]

"Breast cancer isn't even the biggest cancer killer in women!" No, but it has the best ad campaign. Louis Bernays would be proud.

[@WaveFunctionRider]

I like how the first half of the video shows the problems with government since government often fails at seeing the Law of Unintended Consequences. Cool video. More people need to know these facts (and exercise).

[@TheBlackrose1989]

This is so good! Out of curiosity, is there any chance the script to these episodes can be provided in a link, or in the About section? I find that sometimes being able to read can be really useful, especially when I'm engaging in a discussion or debate with someone on the particular topics in the video.

[@sarahblub5371]

I've never seen 0 dislikes on a 5000+ viewed video. On a related note, great video!

[@CottonDrifting]

It now has over 9000 views and no dislikes!

[@jlingviolin]

This should be required viewing for everyone, everywhere.

[@DavidSilverGames]

Informative and insightful. Thank you for making these.

[@facebren]

The first thing I though of was car accidents... Well said, sir.

[@verysneakyninja2412]

Thank you for the great content! My family and I enjoy watching your videos every week. Would you consider covering heart disease as the main topic of one of your future videos?

[@andrewcharles4702]

Thank you, a really well presented, logical video that a lot of people should watch.

[@AdamHeidingsfelder]

I believe the major killer of children are ALL accidents, not only car accidents, including poisons, falls, maybe even choking. It seemed like in the video you were assuming only auto accidents. GREAT video, most people never think about these things. SUBSCRIBED! Reminds me to nag my patients about exercise and smoking.

[@romantheflash]

The weird thing is I think cancer is so salient and so worried about, because it's the quality of life someone has with cancer that is so worrying to people, heart disease kills (relatively quickly, depending on the disease of course.) so less people worry about it. The ironic thing of course is that there is little you can do about cancer besides check ups, and suncream for skin cancer of course. Heart disease, if you eat healthy and take care of yourself you are less likely to get it (excluding genetic heart disease factors of course.)

[@tomasfernandez9045]

Can i ask you for a favor? Whenever you are comparing numbers, could you add them in the video in a corner or somewhere? I know it wont take a lot of edditing to do and will make some of the comparisons way more easier to complehend than if you just say it. At least for me since i cant understand english that fast :P

[@ck121395]

When my daughter was an infant we were preparing for a trip and I was trying to decide whether or not to buy her a seat. I read an article about a plane crash in Kansas. A mother held her infant as told by the flight attendant at the time of the crash. The baby was ripped from the mothers arms and was found in a corn field some distance away from the plane, dead. That took care of it for me. I bought a seat for my baby. I'm not afraid to fly, just enjoy it more all buckled in.

[@gearmonkey]

Yet another great video! Are you going to do more of the Healthcare System Explained series? I'd love to hear a bit about various european countries' systems.

[@vlogerhood]

Fantastic work. Notice that Dr. Carroll said "exercise and eat better", he said NOTHING about losing weight. I wager that is because he has seen the studies which demonstrate that reduction in mortality is tied to those behaviors IRRESPECTIVE of weight. Hopefully, he understands that obesity stigma is precisely one of those fads, media campaigns, and biases he spoke of.

[@andriyshevchenko6689]

It's quite rare that obese people eat well, that's why they're, you know, obese.

[@waaurufuc3334]

One third of the American population being obese with an upward trend that has been worsening for decades is not what I would call a "fad." www.cdc.gov/obesity/data/adult.html#History Besides, eating better and exercising usually ends in weight loss, so... it's kind of implied. Yes, individual bodies vary and what might be considered an unhealthy weight for one person is the perfect weight for someone else, but the name of the game is self-improvement. Also, could you link me to these studies you're referencing? I'm very curious.

[@vlogerhood]

Andriy Shevchenko The causes of obesity are far more complex than that. What people eat has a surprisingly small role.

[@vlogerhood]

Waaurufu C "Besides, eating better and exercising usually ends in weight loss, " Nope, actually 95% of attempts at weight loss fail within three years, and 84% of attempts at weight loss result in weight gain over the long term. The study of all cause mortality is this: www.jabfm.org/content/25/1/9.full

[@andriyshevchenko6689]

vlogerhood That's just not true, it's simply a question of physics, you can't get more mass than what you eat. You can theoretically get fat by eating fruits and veggies, but really the unhealthy foods are the ones that also cause extreme weight gain, and for virtually all of the obese people you can make the reverse statement too. Hormone dysfunctions and the like only cause people to eat more, not to create fats and proteins out of thin air.

[@jerotiq]

Good and necessary information. Keep it coming. Just subscribed and I'll share it

[@Skygerobrian]

Would you make a video on ocupational hazards, workplace safety practices, OSHA and the likes?

[@FrolickingWithChelsea]

Hi Aaron, could you do an episode (or a few episodes) on Mental Illness? Too many people think it is a problem with the person themselves, not a chemical imbalance in the brain. You know, "Why can't you just cheer up?" "Why don't you just relax?", all those simplifications. Could you do an episode on the way mental illnesses work in the brain (that we know of)?

[@chrisj1746]

Definitely awesome episode. So many things are thrown at us and it is hard to really get an idea of what really is a bigger threat .

[@rachelpevsner2894]

First thought when you mentioned mental health: "dude, I love you"

[@halophilicnc6473]

What, precisely, would a car seat do for a child in an airplane crash anyway?

[@vidlover14]

make it harder to get the kid out of the plane after the crash....

[@sanctious]

Probably nothing. But it would keep them more secure if there was turbulence during the flight. I know someone who slammed into the ceiling of the cabin when the plane suddenly did a short drop due to weather.

[@jiiff1]

I always love watching HealthCare Triage!

[@Zfernbaugh]

This is why I subscribed to your channel. It's these kinds of videos we need to see in school.

[@mitchumsport]

HEART DISEASE, BITCHES, IT'S A MOTHERFUCKING KILLER

[@BrotherAlpha]

Not to be a insufferable prick, but nailed it! I knew heart disease was the biggest killer among adults and accidents were the number one among kids. Even knew suicide and homicide were two and three among kids. I'm glad you are spreading this information, because a lot more people should know it.

[@brandonfrancey5592]

Yup, poor understanding of risk is why you get people that yell and protest about Wi-Fi and windmills that might possibly be hurting people, then they drive home eating fast food, smoking and texting on their phone.

[@argeurasia]

I don't think it's stated, but I presume the numbers are only for the US.

[@Damnation1]

So perfect, I remember seeing these stats somewhere and I was like, so why have I never even heard of heart disease?

[@joesteen4605]

Who dislikes logic? Great stuff Doc!

[@Cloud_Seeker]

In the start I guessed heart diseases, cancer and car accidents for both female and males. Was I correct or close?

[@MrRoboskippy]

Great video! Thank you.

[@JillH1995]

I don't remember the exact numbers, but I learned in psych class (when we were talking about irrational fears) that a several thousand more people died in car accidents after 9/11 than would have been expected under normal circumstances because they were afraid to fly.

[@qwertyuiopaaaaaaa7]

What's your opinion of breast cancer awareness month? If So few women, and even fewer men die from it, should we really make it a focus? If we have to allocate a month to a healthcare issue, aren't there more pressing health issues?

[@Tausami]

Well, the point of breast cancer awareness month is that breast cancer used to be a taboo subject, because boobs, and it was difficult to detect and treat because people were so embarrassed by the idea of it that it wasn't found until it was too late. There are some who feel that if we stop promoting breast cancer awareness that taboo will come back and breast cancer deaths will begin to rise again.

[@qwertyuiopaaaaaaa7]

***** I feel like there is a much bigger taboo about prostate cancer. If the reason you state is why we have breast cancer awareness month, then we should allocate that month to the most taboo cancer with a relatively high mortality rate. I don't think that breast cancer or will become more taboo than prostate cancer.

[@notbadsince97]

i was really hoping for another healthcare coverage in different countries.

[@zubovwm]

Make decisions based on (available) data, not intuition. Well said!

[@batthew27]

Please can you do an episode on hypochondria. I have a friend who is carcinophobic and believes that they are dying of a different form of cancer pretty much every other week. This makes it hard for him to go out and live his life. Is there any statistical video you could make to show him that his self-diagnosing is completely wrong.

[@pninaruth]

Sir you are awesome! Thank you for your straight forward language.

[@Merlmabase]

Hi Dr. Carroll, I'd appreciate a little clarity on the numbers - are you citing cases of *preventable* death? Because after all, everyone dies - is heart disease so far ahead because of our dietary/exercise habits, or is it simply the most common failure mode of the human body in the long term?

[@lazeydaizey]

Got to "What's the number 1 killer of men? How about kids?" And my brain heard that as one sentence. I had to pause the video due to a fit of giggles.

[@GengoNoTabi]

I'm 43 years old and in very good shape. Sometimes people say that I am lucky that I am blessed with good genes, or something to that effect. That is infuriating! I practice discipline like an adult should. I exercise 4-6 days a week, I bicycle instead of driving, I don't eat fast food, I don't eat chips/snacks, I never drink soda pop. I do eat as much as I like, and I eat good tasting food and I definitely get my fats and carbohydrates as everyone should. In other words I continually make responsible choices and then when I decide to have a desert I have a real desert and I enjoy it. My experience is that if you see an overweight person walk into a coffee shop they will buy the sugar, and fat loaded crap instead of a coffee, and while they drink their 800 calorie beverage, they will explain that they are genetically disposed to being fat and can't help it.

[@fakjbf]

*in other words it's a common mistake, like when people say "for all intensive purposes" instead of "for all intents and purposes".

[@GengoNoTabi]

fakjbf Thanks fakjbf! I am always good for random spelling mistakes. I edited my message so that it is correct.

[@kandylover139]

GengoNoTabi Your comment offends me a little. I know you're probably going to think that I'm another one of those "fat people who says they are genetically predisposed," but dialogue such as the kind you are using isn't helping anyone. "Fat shaming," to me at least, is a form of bullying. Now, I'm not by any means saying that we should embrace unhealthy lifestyles and obesity, but the dialogue of "being thin is soooooo easy, I don't see why fat people don't just get off their lazy asses and be thin already," is discouraging. Good for you for being a healthy weight, but it isn't so easy for everyone. And there are other factors than genetics at play. Poverty plays a huge role in obesity in the first world. Instead of shaming all of the fat people for being lazy and stupid, why don't we start a real cultural dialogue about the causes of and treatments against obesity? Then we might actually be able to do something. Your ranting will not change anything. If you really cared, you wouldn't insult everyone who isn't "perfect" like you. You would try to help people instead of hating them. And not everyone who is fat drinks expensive, sugary, Starbucks drinks. Plenty of thin people I know do that. They just also happen to be wealthy and therefore have the time and means to exercise. More fat people in the first world are poor than are rich. And poor people often can't afford healthy food because it is more expensive and takes longer to prepare. Your comment almost makes me not want to be thin, if it means I have to give up my compassion in exchange.

[@callunalepus7621]

I think my genes make all that stuff easier for me. I can't stand the feeling of being overly full. I've never been able to stand it. It makes me feel miserable so I am not inclined to overeat. This isn't anything I accomplished by discipline, etc. It's just the way I've been since I was little. I also get sick if I eat a lot of fatty foods. I don't like being sick, so even though I like the taste of fatty foods, I don't eat them a lot. Once again, not something I accomplished with discipline. I *do* make efforts to eat healthy and I try to walk a few times a week. But I also recognize that this is all a lot easier for me than it is for many, many people and that I have advantages from the way I was raised in addition to having a body that seems to resist getting fat.

[@FajorMuckup]

Thanks, we need more content like this in the world. People's risk education is beyond poor.

[@queenedeloria]

I was under the impression that the reason people obsessed over cancer rather than heart disease had little to do with what would actually kill you and much more to do with how much it would impact your quality of life before it killed you. That still makes cancer a lot more scary because suffering and then dying seems worse than just spontaneously dying.

[@healthcaretriage]

Heart disease can lead to a lot of morbidity before it kills you!

[@xvx4848]

8821 views, 1172 likes and 0 dislikes. Man everyone loves this channel! I know I do!

[@brbarbieri93]

Well, in light of this video, this issue seems less important... but could you address some of the misconceptions regarding milk consumption, especially in adults? I know you mentioned it briefly in a previous video, but I'm still haven't been able to find any definitive answers. Thanks!

[@dumarion88]

This was another excellent video that brings light to our cultural myths about health and death, but will there be more national healthcare summaries? The US system is obviously one extreme, and while Canada is different, it still falls in the middle of more socialized systems like those in Europe. Could you, perhaps, review the healthcare system of Sweden (my wife's native land) or the U.K.? It bears mention that these are even more demonized by the right than the Canadian system.

[@LukeOfTroy]

I must be such an anomaly. Heart disease has been my biggest fear in terms of like fear of what might kill me, since I was about 7. Didn't really know what heart disease was, but I knew sugar and fatty food did it and that's what killed most people. How do I keep hearing this fact being told to people as if it's surprising?

[@TheDajamster]

Perhaps we focus our fears on airplanes instead of cars because most of us don't fly that often. When people drive pretty much Every day, thinking about just how dangerous it is could give someone a heart attack.

[@DivineTr33]

I'm so glad I knew most of this already. This college thing is really paying off!

[@niokpanda]

Hey er my parents said if you do a lot of exercise while you have cough or flu, it weakens your heart, is it a myth? Could you do an episode on myths about heart disease?

[@TheDajamster]

Is there any chance of us seeing a video comparing heart attack symptoms comparing men & women? I hear the stats are high for women partly because they compare their symptoms to the widely published list of symptoms for men & ignore things till it's too late.

[@thelonewolfspirit]

What I want to know is why they slightly change the wall color and placement of the background props between episodes. It's all I notice.

[@davidjhyatt]

I wondered if the study considered: families with multiple kids under 2 like families with twins etc.. Families most impacted by a price increase will be these multi kid/lower income which may lead to believe they have an older, less safe vehicle.

[@BrotherAlpha]

On a side note, a bad diet had got to be a leading cause of heart disease (not sure if it is a bigger factor than inactivity). Could you do a video on modern eating. Do corporations have the ability to make food "addictive" for lack of a better term.

[@yashkalapi]

Brilliant episode!

[@hviw]

When they calculate death from air travel, do they bother to take into account stuff like DVT?

[@ElijahO9999]

Just thought I'd mention that I loved the passion.

[@DuffinCaprousold]

As much as I enjoyed this episode, I honestly can NOT wait to hear your take on Antibacterial Soap.

[@jeaninemccarthy7411]

I understand that car seats on planes have negligible value in preventing death, but what about preventing injury in-flight or during take-off/landing? We always buy a seat for our son when we fly, but the main safety concern about child lap-sitting for us was turbulence, not an actual plane crash. We pretty much assumed a plane crash would ultimately render all safety restraints useless, but if there is really bad turbulence, which obviously happens much more often, there is less chance of a child being injured in flight when he/she is in a car seat, no?

[@GameTesterBootCamp]

I'm a HUGE believer in strong mental health support. The problem is that my insurance, and many others, don't cover it and often leave those with less income no option to seek professional help. :-(

[@jauyun847]

Yourself statement about prostate cancer (or its phrasing) minimizes the fact that the scary part of prostate cancer is not the death part. Personally, I don't mind death, I do mind pain and suffering. BTW, I got the questions at the beginning right, cardiovascular disease. (^_^) yay me.

[@diegocampos7790]

You guys have an awesome show. Keep it up !!

[@Evirthewarrior]

The people that advocate "if we can save just one life its worth it" drive me nuts. Many times its not worth it. You can put a price tag on people, we do it all the time. Signifiant infringement on my freedom to " save just one life" is not worth it. Worry about real hazards stop playing nanny and getting everyone to conform to your standards.

[@isakoqv]

I think it's because people tend to forget the concept of opportunity cost. It's not that we don't want to save that one person; it's that we don't want to sacrifice the thousands of people that could have been saved at the same cost.

[@ArkanSirthel]

Best channel ever. I mean it.

[@dzjad]

I could find dozens of places to invest $1.3B to make travel in general more safe. Some initial thoughts include research into carbon fiber manufacturing for making it cheaper to make cars lighter and stronger (thereby more safe).

[@Soy_Sauce_Supreme]

I knew the one 14-28. I don't know weather to feel good that I know this or if i should feel crappy that I'm not exactly helping prevent it.

[@CorgisAreForever]

Whenever I write introductions to my essays I want to end the paragraph with: something something something? "That's the subject of today's healthcare triage" The intro is so engrained now hahah