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Transcript
00:00Zach from the Try Guys has come out and said
00:02that he has an autoimmune condition.
00:04I'm about to watch the video and react to it.
00:06Let's get to it.
00:07Be whoop!
00:07I have had really bad back issues,
00:11basically my entire life.
00:12Perfect, I'm an osteopathic physician.
00:14This is gonna go really well.
00:15I was going to the chiropractor when I was 10.
00:18I had to have like an ergonomic backpack in middle school.
00:21I mean, everyone should have
00:22an ergonomic backpack in school.
00:23In fact, my theory is that a lot of the scoliosis
00:26that kids are developing these days
00:27come from uneven backpacks,
00:29wearing them on one shoulder,
00:30or even those desks where you can only lean on one side.
00:33I ache, I get stiff.
00:35It kind of started before I went to BuzzFeed.
00:38A lot of my time would be spent at a computer
00:40and I noticed I would just,
00:41when I sneezed, I could feel the pain shoot from my back
00:45through the front, through my chest cage.
00:48The way that he's describing his pain
00:49right away tells me that there's some kind of inflammation
00:52happening at the rib joints.
00:53Because remember, the ribs attach to the front
00:55of your chest, the sternum, at least the upper ribs here,
00:58and then also to your spine in the back,
01:00the thoracic spine.
01:00I have a bit of a hypochondria,
01:03and so whenever something's wrong with me,
01:04I'm like, cancer, it's cancer, cancer.
01:06So I told my doctor about this pain,
01:08and he says, that's not a thing, you're good.
01:11If you're a doctor and a patient's coming in
01:13with a high level of anxiety about a condition,
01:15and you know they're susceptible to health-related anxiety,
01:18you have to right away be ultra transparent
01:21and honest about what you're doing and why you're doing it,
01:23not just give statements like you're good and move on.
01:25I decided it was time to go to the chiropractor.
01:27We took an x-ray, turns out, I have fewer scoliosis.
01:31So scoliosis doesn't always require treatment.
01:33We blame a lot of problems on patient scoliosis
01:36when it's actually not the main cause.
01:38It's very easy in a patient who's having back pain,
01:41caused by something completely different,
01:42to get an x-ray and blame it all on the scoliosis.
01:44In fact, it's a lazy thing to do.
01:46A small degree of scoliosis shouldn't be causing
01:49significant discomfort.
01:50In fact, most cases of scoliosis that we see
01:52are extremely mild and are asymptomatic.
01:55Now, for anyone who has scoliosis,
01:56they will be the first people to tell you
01:58that my scoliosis is minor.
02:00It's not the kind you would get surgery for.
02:01I tried a lot of things to help this.
02:04I changed my diet.
02:05I don't know what the diet would help with scoliosis with,
02:07unless he had a bone mineral deficiency there.
02:10The main thing that you do for mild scoliosis like this
02:12is not even bracing, not surgery, obviously,
02:15physical therapy.
02:16Doing some exercise, some lifestyle modifications,
02:18to make sure you're not wearing a book bag
02:19only on one side.
02:20The pain built to a point where I couldn't sleep.
02:24I woke up at like 4.45 in pain.
02:28This was every night for months.
02:32Laying down, hurt.
02:35Being in my bed, hurt.
02:38I mean, living, hurt.
02:40I'm talking about, I would wake up
02:41in the middle of the night five times.
02:43All during this, I'm working a full-time job,
02:47but when you're not sleeping, it eats away at you mentally.
02:50It absolutely does, because you don't recover well.
02:52You're constantly in a hypersympathetic state
02:54where it's like you're basically being chased by a lion.
02:56You're never relaxing, you're never digesting,
02:58you're never repairing and healing.
03:00And as a doctor, you have to ask these things,
03:02because when we ask how much disability
03:04a certain injury is causing you,
03:06it's not about whether or not you can walk or run
03:08or lift or not.
03:09It's also about, can you rest adequately?
03:12Can you sleep well?
03:13Can you sit well?
03:13Can you perform the duties at your job well?
03:15I started screaming, I think,
03:17and I feel bad for the doctor,
03:19but I was like, hey, this can't continue.
03:22I'm losing my mind.
03:24I got referred to a rheumatologist,
03:25and within minutes, the rheumatologist is like,
03:28oh yeah, I think I know what's wrong with you.
03:30And I'm like, what?
03:31I'm interested what conversation they had
03:33in the medical office that led him
03:34to go to see a rheumatologist,
03:36who is essentially an autoimmune joint disease expert,
03:39why they went that route versus a spinal surgeon,
03:42for example.
03:43It could have been that he wasn't interested
03:44in spine surgery, but there has to have been tip-offs
03:47to some sort of autoimmune process.
03:50I had to go in for an MRI, which was scary,
03:52because at that point, I didn't know what was wrong with me.
03:54He just referred me to an MRI, and I'm like,
03:56oh God, what is this?
03:57An MRI is magnetic resonance imaging,
03:59where you have giant magnets essentially spin around you
04:02to give us really good quality images.
04:03It's really loud.
04:04It's very claustrophobic.
04:05Some of my patients actually need benzodiazepine medications,
04:09which are anti-anxiety medications,
04:11to even be able to get an MRI.
04:13They do a great job at showing soft tissue,
04:15like an X-ray, for example, will show bone quite well,
04:18or joints well.
04:19The MRI would show us cartilage, tendons, ligaments, organs.
04:22It turns out I have ankylosing spondylitis.
04:26Ankylosing spondylitis is basically
04:28an inflammatory autoimmune condition,
04:30where it usually starts in the sacroiliac joint,
04:32which is the joint between your hips
04:34and one of the lower portions of your spine, your sacrum.
04:37It can get so bad that it starts spreading
04:39to other vertebral joints, moving up your back,
04:42where you develop stiffness, and in the worst conditions,
04:45actually, the joints fuse, and you become very stiff.
04:48It becomes very painful.
04:49Think about inflammation in the joint.
04:51This was about four months ago.
04:52I am happy to report that since that time,
04:56I've been on medication, and I have felt better
04:59than I have felt since, like, childhood.
05:03I take a drug called Hemera.
05:05So no matter where I am, no matter what I'm doing,
05:07I have to stop what I'm doing and give myself a little shot.
05:11You ready to get poked?
05:13We hold on to Zach's medicine.
05:15I have to take this medication twice a month,
05:17the same time, so it's 8.40 a.m.,
05:20and I gotta take this shot.
05:21This is a medication that's used
05:23as a disease-modifying anti-rheumatic drug,
05:27and these DMARDS work through different processes,
05:30but the medication he takes targets tumor necrosis factor,
05:34and it actually allows the decrease of inflammation
05:36where he has an unnecessary increase.
05:38And so what's great is that you never
05:39actually see the needle.
05:41Oh. Right?
05:42That's nice.
05:43You see this window right here?
05:44Some yellow liquid's gonna pop out of it.
05:47Whoa.
05:47Ow, ow, ow.
05:50But that's it.
05:51Now I'm done.
05:51So I started my medication, and for a few months,
05:55life was incredible.
05:57I was able to sleep throughout the night
05:58without waking up in pain.
06:00I wasn't stiff throughout the day.
06:02It's important to remember, as he's talking
06:03about his experience with this medication,
06:05that it's not a cure for his condition.
06:07It's a disease-modifying drug,
06:09so it changes the course, the development,
06:11making the progression slower.
06:13That's the most important takeaway.
06:14During this time, I was instructed
06:16to keep up with physical activity.
06:17Ugh, boy.
06:19But as the months passed, I got a little lax.
06:24I was back to where I was.
06:26The truth is, I started ignoring my disease
06:29the second I could.
06:31The moment that my medicine started working,
06:34I stopped paying attention to it.
06:37So it was time to go back to the doctor,
06:40finally ready to accept and confront my symptoms,
06:43and ready to attack this sickness head-on,
06:45and he said I was fine.
06:50My inflammatory markers were still low.
06:54If a patient is coming in and saying
06:55they're suffering again with their illness,
06:57that they feel like it's making a return,
07:00they're going back to where they were,
07:01and I come in and I say,
07:02no, your inflammatory cells are good,
07:06that's not adequate medical care.
07:07We never treat lab values.
07:09We don't treat inflammatory cells.
07:11If a patient's coming in and telling me they have back pain,
07:13if a patient's telling me that they have
07:14terrible crippling anxiety and depressive symptoms,
07:17I don't say, oh, your labs look good, so deuces.
07:20I decide to make my health a full-time job.
07:22Physical therapy twice a week.
07:25Yoga and stretching first thing when I wake up
07:27and last thing before I go to bed.
07:29Long walks with Bowie every single day
07:31instead of letting someone else walk him for me.
07:34And exercise, especially on the days that I don't want to.
07:38Accepting that sometimes being late to work in the morning
07:40is a necessary component to my health.
07:42The movement component and the healing
07:44that comes from moving is amazing.
07:46Because whether it's a medication,
07:48a massage, physical therapy,
07:50all of that is in place so your body heals itself.
07:52And a body that's not in motion
07:54will continue staying not in motion
07:56and continue being in pain.
07:57And after all that,
08:01I feel okay.
08:02I still have a baseline of pain most days.
08:08I don't know that I'm ever gonna fully be 100% again,
08:12but I am done ignoring my pain.
08:15That's really powerful because acceptance
08:16is a big part of chronic pain.
08:18A lot of times we promise patients
08:20that we can fully get rid of their pain,
08:22go from 100 to zero.
08:23And a lot of times that's not feasible,
08:25most notably so when it comes to opioid treatments.
08:28Patients that are promised zero pain are giving opioids.
08:31Their pain goes to zero,
08:32but then we can't continue those in many cases long term
08:35unless that there's an end point,
08:37there's a goal for something.
08:39Check out my video of Michael Reeves
08:41and his bladder exploding.
08:43What?
08:43Click it, it's the most fascinating story.
08:45He's actually in the video with me.
08:47Click here to check that out.
08:48And as always, stay happy and healthy.