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Transcript
00:00I've reacted to YouTuber injuries before, but apparently there's a few I missed.
00:03So let's check those out and get started.
00:07Got some football.
00:09Football stuff.
00:09Oh, is this destroying?
00:12I heard something about this.
00:15It's crazy how life could change.
00:17Was that the injury?
00:17Was that when it happened?
00:19You know, leading a head down is not the correct way to make a tackle from a safety perspective.
00:24Instantly as I hit him, my whole left side of my body go numb.
00:27Oh no.
00:27My arm is hurting.
00:28Oh no.
00:29My neck is hurting and a team doctor evaluated me and he said, I'm all right for now.
00:33Let's put some tiger balm on it, finish off the game and we'll do further tests afterwards.
00:38But I don't know if I'll be tackling people like that again.
00:40Yeah, whenever you lead with the crown of your helmet,
00:44you essentially open up your neck to all sorts of injuries.
00:46That's why ideally you want to be tackling almost with the shoulder
00:49and being able to visualize the person you're making the tackle of.
00:53So what happened to you?
00:54Uh, on kickoff, I went in and tackled somebody in proper form, head was down.
01:01And I mean, I guess I'm-
01:02Do you have a video of it by any chance?
01:05See, that's a great question by that physician because mechanism of injury is so important.
01:09In the video, you could see his neck snap backwards,
01:12signifying that there's a hyperextension injury.
01:14And hyperextension of the neck is very, very dangerous because not only are there
01:18some connective tissue parts like the ligaments in the area,
01:22then you also have in the back two arteries that run up
01:25on either side of the spine called vertebral arteries.
01:28And when you have hyperextension, especially to one side,
01:30you can actually sever those arteries.
01:32It's obviously not what's going on here.
01:33I'm just describing the dangers of a hyperextension injury.
01:37What did you feel when you did it?
01:39Left arm went numb and my neck just instantly got stiff.
01:43So if I touch you here and here, is that 100% equal?
01:46Yeah.
01:47Here?
01:48Yeah.
01:48This is a good evaluation from a neuro exam standpoint.
01:52You're not just checking muscular function.
01:54You're also checking sensation.
01:56Is any of that super tender?
01:58It's slower.
02:01You've had a pretty significant injury to your neck.
02:04You fractured what's called the lamina and you've broke them at C5.
02:10You've also disrupted, there's a ligament that's not on this model
02:13that runs up and down the front of your spine called
02:16the anterior longitudinal ligament.
02:18That's a very severe injury.
02:20He essentially broke his neck.
02:22The neck is made up of seven vertebral bodies, C1 to C7.
02:27And the higher up on the spinal cord that you have an injury,
02:31the more devastating it is.
02:32C5, depending on where that injury is, can impact your upper arm muscles.
02:38It can impact your ability to speak, like your vocal cords
02:41and make it more difficult for you to breathe.
02:43And that's if the injuries of the spinal cord.
02:45Right now, all we know is that the injuries of the bone,
02:48and specifically it's the posterior portion of the spine known as the lamina.
02:52If it was any other part of the spine,
02:56it's likely that he would have had more symptoms.
02:57But when you have the lamina fracture,
03:00that actually creates an opening for swelling to happen
03:03and actually can mitigate the symptoms.
03:06We actually perform what's known as a laminectomy,
03:09where we remove that part of the spine to allow less damage
03:12to occur for the spinal cord during other back injuries.
03:15So the fact that that part broke can allow a situation to happen
03:19where he's not sure that this is a devastating neck injury.
03:22That's why it's so dangerous.
03:23And so, I mean, it was a major bony and ligamentous injury.
03:27And you have two small disc herniations at C5-6 and C6-7.
03:31Disc herniations happen as a result of major pressure on the discs.
03:35Those are like the little spongy areas in between the vertebrae.
03:38Depending on where it herniates, it can create different symptoms.
03:42So if it herniates inward,
03:43it can actually put pressure on the spinal cord itself,
03:46which could be devastating.
03:47If it goes outward or to the side,
03:48it could put pressure on the nerves that exit the spinal cord
03:52and have symptoms on only one side versus the other.
03:54The reality of this is that this will probably heal,
03:58but it's probably going to be three months in that collar for it to heal.
04:02I don't need surgery, right?
04:03No.
04:03That's interesting that they're saying he doesn't need surgery.
04:06It must be a very limited fracture
04:09because a lot of times in a situation where the C5 vertebrae are fractured,
04:14you do need fusion surgery to make sure that they're stable.
04:17So I don't know the extent of the damage here,
04:19but it clearly must be at a reasonable amount
04:21that they feel he can just allow the area to heal
04:24with the C collar on protecting the spine
04:26and then do some rehab work as well.
04:28You know, sending my best wishes to a speedy recovery to destroying on this
04:32because I can't imagine how hard it is for being an athlete
04:35and having this happen to you.
04:37By the way, this car that we've been standing next to this entire time,
04:40I bought this.
04:40The reason I had to buy a brand new car was because the next myth is that
04:43you can break a car window with your fist.
04:45Oh no, don't do this.
04:47Not only is someone going to get cut and going to bleed a lot,
04:50someone's going to break a bone in their head.
04:52That's not even a myth.
04:54You're not supposed to do this.
04:55There's even specific hammers that people have inside their car to break out
04:59in case they're trapped or they're sinking.
05:03Here we go.
05:04Oh!
05:10People, be careful what you do for views
05:12because this could become so dangerous.
05:14Like cutting yourself in areas where you have major arteries
05:17is so scary because you could die in a minute or so.
05:20Max getting stitches right now.
05:22That was a awful way to start the day.
05:24That was a stupid thing to do.
05:25That was a stupid bit.
05:26And creating entertaining content, we sometimes get carried away.
05:28That is a lesson learned on getting carried away right there.
05:31Don't do that.
05:32You don't understand.
05:32Don't play with glass.
05:33Don't play with sharp objects.
05:34I can't tell you how easy it is for things to go wrong.
05:38So it's freshman year.
05:40I wanted to do like an activity.
05:42What I tried to do was parkour.
05:45And it was like supposed to be a quote unquote beginner parkour thing.
05:49I hate when things are say beginner because they're always still so hard.
05:52Like I'll take a beginner yoga class and not walk the next three days.
05:56I just started using the tonal machine.
05:58I did a beginner class and it was so high intensity
06:00in terms of going from exercise to exercise.
06:02I got so sore even though like I'm pretty strong.
06:04It's really funny.
06:06It's time to drop from the second story and do a sweet tuck and roll
06:10into this little grass patch.
06:12That sounds so scary for a beginner.
06:13Like maybe you should just practice that on a mat first.
06:16That I realized they assumed I knew how to do a tuck and roll.
06:21Which I had never done in my life.
06:23Should probably practice it before doing it off the second floor.
06:26Markiplier, come on, bud.
06:28And so they're all giving me encouraging words.
06:30They're like, you can do it.
06:32So I'm like, I got this.
06:33And so I drop and I landed from the second story straight onto my ass.
06:40Oh my god, I feel for his coccyx already.
06:45Donut pillow incoming.
06:47And you know, at the time, I never connected the dots to me falling on my ass
06:51and possibly breaking something in my spine to this weird thing
06:54where I'd go to the gym and work my spine and I would be in horrible agony.
06:59I mean, obviously it could be anything.
07:01My suspicion is there's some kind of herniation poking out a nerve
07:04that gets accentuated with either flexion or extension.
07:07Or it could be something completely different like SI joint pain or hip joint pain.
07:12Just usually those are not as electric in nature.
07:14Also, there could be like piriformis issues going on,
07:17but that's more like wear and tear as opposed to like acute trauma.
07:20So I'll explain what happens.
07:21So I'm supposed to be bent over.
07:23A guy jumps on my back, who is your stunt double,
07:25grabs my back and pulls me back really fast.
07:28It's those hyperextension injuries.
07:29See, it's like the theme of the video.
07:30So I get pulled back with a hundred something pounds of force
07:33and then I have to pull forward.
07:34And pulling forward also stresses all of these anterior scalene muscles
07:39and the sternocleomastoid muscles.
07:41So you can like tear something just doing that.
07:43It also reminds me of like a whiplash injury
07:46from a car accident when you get rear-ended.
07:48The stunt coordinator did not teach me how to properly do that.
07:53So for some reason, that pressure all went straight to like
07:56right in between my abs and I felt something pop.
07:58Oh, you got a hernia.
07:59So I put my fingers down between my abs and there is a lump.
08:05A little separation.
08:06There's a lump right here.
08:07Yeah, if you increase intra-abdominal pressure with relaxed abdominal muscles,
08:12you can create a hernia.
08:14And a hernia is essentially your intestines,
08:16your abdominal contents poking out through the hole.
08:19When the abdominal contents are poking out,
08:21if you try pushing them in, you can't.
08:23That's called non-reducible and that could be dangerous
08:25because that could lead to incarceration of the bowel
08:28where it's actually getting choked out
08:29and that's a surgical emergency.
08:30Or if you can push it back in, that's called reducible.
08:33That's the more common type.
08:34You can go for an elective procedure because of the risk,
08:38the increased risk of having incarcerated bowel.
08:40And I didn't know what to do so I just pushed it back in.
08:43No, don't say you pushed it back in.
08:46So I pushed it back in.
08:48He reduced it.
08:49It was right above the belly button area right here.
08:54And sometimes if I like do a certain thing where I pull up like this enough
08:57and my skin is like tight enough,
08:59you could kind of see a little bump right here.
09:01In those cases, we ask a patient to bear down or cough or lift up their head
09:05so that it flexes the area.
09:06And sometimes increasing that intra-abdominal pressure
09:08can cause the hernia to pop out.
09:10Immediately when the doctor saw me, they're like,
09:11yep, that's a hernia.
09:12And I was like, cool, so what do I, how do I get that fixed?
09:16And they're like, you don't.
09:17I was like, what do you mean you don't?
09:18And they're like, well, so the thing is if we want to fix this,
09:21we're going to have to do surgery, open your skin, push it back.
09:24You could do this laparoscopically.
09:27And they said that they only recommend doing that
09:29if you have like a full-blown hernia.
09:32My hernia was like a weird thing where it's like a few layers got weak
09:35and like a little protrusion happened,
09:37but it wasn't a full rip open with a full intestine.
09:39All right, so it's not a full hernia.
09:41I was told that I should never lift weights again.
09:43All right, there's some kind of like weird medical advice
09:45happening here with like a half answer.
09:47There is like a weakness in the abdominal wall called diastasis recti.
09:51This actually happens during pregnancy sometimes
09:53when the abdominal muscles split,
09:55where you actually have a weakness in the wall
09:57and you could see protrusion on increased abdominal pressure.
09:59And we say be careful with abdominal exercises,
10:01but we don't say never lift weights at all.
10:03So I feel like we're kind of hearing both sides of the story
10:05that it is a hernia, but it's not a hernia.
10:07It's probably diastasis recti,
10:09which is a condition with weakness of the abdominal wall like this.
10:13I'm guarding Michael Jordan.
10:15Bro gets me with a nice crossover, can't even lie.
10:18Boom!
10:19Oh, elbow.
10:20He goes up, hits me with a mean, vicious elbow to the chin.
10:24Oh, that wasn't purposeful though.
10:25Jesser fouled him.
10:26I'm pissed at this point because I'm dripping blood
10:29and there's a foul on me for getting elbowed in the face.
10:32Well, yeah, it's depending on where you are on the court.
10:35If you got in the way of the shooter's arm.
10:37I have to get subbed out.
10:38I go straight to the bathroom.
10:40Our team nurses rush in to the bathroom to help.
10:43Does he have a chin lack, a chin laceration?
10:46That's going to require sutures probably.
10:48Close up shot of the chin.
10:49Oh, that's a solid opening that requires closure.
10:52And the reason why the chin and the skull
10:55have these really severe lacerations like that
10:57is because whenever you have contact
10:59from like a hard surface, like someone's elbow,
11:01the skin gets trapped in between the hard elbow
11:04and your hard chin,
11:05and that essentially acts as the force that cuts it.
11:08So if this was like padded,
11:10like let's say the buttock is,
11:11less likely for a laceration to happen,
11:13more likely a bruise to happen.
11:15So let's go through it.
11:16Head to toe, total damage.
11:20I've had no shortage of concussions
11:22and I figured that my brain's pretty messed up.
11:24So I went to this brain scan place.
11:27Oh no.
11:27And they said it looked pretty good.
11:28I love that brain scan place is doing
11:30what's known as brain electrical activity mapping beam.
11:33That doesn't actually tell you anything
11:35about the anatomy of the brain.
11:36I didn't see nearly the kinds of things
11:39I expected to see in your brain.
11:41I do see what might be a sort of stress response
11:43from long years of drinking.
11:45A lot of this is correlational and not causative.
11:48So I would be careful about drawing conclusions
11:50from an EEG.
11:52If you're really looking for damage,
11:54looking at anatomy through a brain scan,
11:57like a CT or an MRI is gonna show you more information.
12:00And even then clinically judging someone
12:03is way more valuable than anatomically
12:05unless you're in an acute setting.
12:09My vision just gets worse and worse.
12:11And I think it might be because of the lemon juice
12:14and hot sauce I poured in my eyes.
12:18Yeah, Steve-O.
12:19Why didn't we talk about this on the podcast?
12:21I've got another pretty serious situation in my esophagus,
12:25which is called Barrett's esophagus.
12:27This is a precancerous condition.
12:29We talked about this on the podcast.
12:31What happens is basically the cell types
12:33due to long-term exposure of acid,
12:36usually from leaking from the stomach,
12:38change the type of cells inside the esophagus,
12:40which is a cancerous change.
12:42Obviously that can be lethal if you let it go unchecked.
12:46I have to get that monitored with endoscopies
12:49like every year or so.
12:51This really depends person to person
12:53and how long we've established stability.
12:55Sometimes you can space that out.
12:58If I got a dollar for every time somebody asked me
13:00if I could have kids with all of the kicks to my nuts,
13:05I'm telling you, I'd have a bunch of dollars.
13:08So I went to the fertility clinic
13:10to get a sperm count before my vasectomy.
13:13It all depends on the damage.
13:15Look at that, dude.
13:18I'm going off.
13:20I'm off to the operating room and I'll leave you with this.
13:23The body is not a temple.
13:24It's an amusement park.
13:26Ride it till the wheels fall off.
13:28Oh no, Steve-O, don't say that.
13:30You're encouraging bad behavior.
13:32And I'm actually surprised that he has no testicular damage
13:34from all the kicks and stuff that he's taken
13:36because it's a sensitive area.
13:37What's up, everybody?
13:38My name is Scott.
13:40Oh.
13:40And I'm gonna tell you about how my 50 cal exploded
13:43and I almost bit the dust about two weeks ago.
13:46Whoa, where those staples are is so incredibly scary for me.
13:50The jugular vein, the carotid.
13:51There's so much anatomy there that is like instant fatality.
13:55Oh my God.
13:56Oh my God.
13:59What?
14:02Does this happen?
14:03I don't know anything about this.
14:05This cab hit me right there.
14:07But he had the safety goggles on?
14:09Thank God.
14:10But it struck me in the face.
14:11It broke my orbital bone in three spots.
14:15Here, here, and here.
14:17It also broke my nose.
14:18And that's so dangerous given the fact
14:20that you have orbital swelling,
14:21damage to the muscles that attach to the orbit.
14:24Therefore, you have difficulties with vision
14:26and ability to move the eye.
14:27The other hit me right here in the throat.
14:30It proceeded to lacerate my jugular vein
14:33and then punctured a hole in my right lung.
14:36How did he survive this?
14:37I took my left thumb, wrapped it in my shirt
14:40and I shoved it as far into my neck as possible.
14:43The doctors told me that if it wasn't for this thumb,
14:46that I would have died.
14:47This thumb saved my life.
14:49And my wife came up with a sage to just put a thumb in it.
14:53Wow.
14:53And what happened?
14:54Why did the gun do that?
14:55Complicated gun mechanic stuff.
14:57But he's probably taking care of them so...
14:5950 cal is a really, really complicated piece of equipment.
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15:13And as always, stay happy and healthy.