• 3 months ago
HEALTHY HABITS:
Healthy habits change your life.

https://rb.gy/qm6cbt
The Ultimate Healthy Habits Ebook⚡️
"The Ultimate Healthy Habits Ebook" is your go-to guide for transforming your lifestyle. It covers nutrition, fitness, sleep, and mindfulness, offering simple, actionable tips to help you build lasting, healthy habits for a better life.

https://bitly.cx/MoRg
Keto Desserts - High Converting Keto Desserts Offer
Book (printed).
"Keto Desserts" is a high-converting printed book packed with delicious, low-carb dessert recipes that fit perfectly into a keto lifestyle. Satisfy your sweet tooth without compromising your diet!

https://bitly.cx/WrAJ
Home Doctor – BRAND NEW!
Book (printed)
"Home Doctor – BRAND NEW!" is a printed book offering practical medical advice for treating common health issues at home. It includes step-by-step guides, natural remedies, and essential tips for everyday emergencies and ailments.

https://bitly.cx/QqkC
12 Fitness Videos
Downloads.
"12 Fitness Videos" is a comprehensive video series designed to help you achieve your fitness goals. Featuring a range of workouts from beginner to advanced, these videos provide effective, easy-to-follow routines for every fitness level.

https://rb.gy/b01vbi
Lost Frontier Handbook
Book (printed).
The "Lost Frontier Handbook" is a printed guide that teaches essential survival skills and self-reliance techniques from a bygone era. Learn to thrive off the grid with practical advice on homesteading, foraging, and more.

https://rb.gy/jle6zd
Herbs For Health - Only Herbal Remedies Offer!
EBooks.
"Herbs For Health" is a unique guide focusing solely on herbal remedies. Discover natural, effective treatments for common ailments using herbs. This offer provides a wealth of knowledge on holistic healing and wellness.

https://rb.gy/ujlkti
Silence Tinnitus and Hearing Issues with Zeneara!
Supplements - Health.
"Silence Tinnitus and Hearing Issues with Zeneara!" offers a natural supplement designed to support ear health and reduce tinnitus symptoms. Experience relief with this carefully formulated blend of herbs and nutrients.

https://bitly.cx/mLHve
EMFDEFENSE™ Negative Ions Sticker
The EMFDEFENSE™ Negative Ions Sticker is designed to protect you from harmful electromagnetic frequencies (EMF) by emitting negative ions. Easy to apply on devices, it helps promote wellness and balance in everyday environments.

https://rb.gy/38zkvk
SurvivalMD
Book (printed)
"SurvivalMD" is a printed guide that provides essential medical knowledge for emergency situations when professional help isn't available. Learn practical, life-saving medical skills to manage health crises during disasters and off-grid living.
https://bitly.cx/mw6D
Old School New Body
EBooks
"Old School New Body" is an ebook program designed to help you lose weight, build muscle, and slow aging using proven, old-school fitness techniques. It features easy-to-follow workouts and nutrition tips for lasting re

Category

📚
Learning
Transcript
00:00This is a tweet that came out the following day.
00:02All right, I'm ready for the tweet.
00:03Let's open it.
00:04Oh, he pooped.
00:06Hey guys, welcome to another episode
00:08of the Wednesday Checkup.
00:10Today, we're gonna be talking about Markiplier's
00:13recent plight with the medical system.
00:15He had some abdominal stuff going on,
00:17which has been troubling him for about half a decade.
00:19But in order to do this,
00:20I had to bring in a sub, sub, sub specialist.
00:24Welcome to the channel, Dr. Austin Chang.
00:27What's going on, buddy?
00:28Hey, Mike, thank you so much for having me.
00:30My sub-specialty is actually in gastroenterology,
00:33which is digestive diseases.
00:35But then within that, I'm also an advanced endoscopist,
00:38where I do more complex procedures.
00:40You are also a TikTok specialist.
00:44♪ We can make a million, make a million, make a million ♪
00:46Beep.
00:48Hey guys, thank you guys so much for caring
00:51about what's going on right now.
00:53I just wanted to give you a small update.
00:55Yesterday, I did have to get surgery done.
00:58I have what's called a small bowel obstruction,
01:01or I had, it was formed by scar tissue
01:04from my previous surgeries that I had
01:07before I started YouTube.
01:09Do you want to talk about this nasogastric tube he has in?
01:13Yeah, as you can imagine, if there's a blockage in the bowel,
01:16there's no place for food or liquids to pass through.
01:20And even if somebody isn't eating anything by mouth,
01:23the stomach, for instance,
01:24is naturally secreting a lot of fluid.
01:27And even if you think about our mouths
01:28and the saliva that we make
01:30that we're constantly swallowing,
01:31that has no place to go.
01:32This tube serves to suction out that liquid
01:37so that it actually has a place to go
01:39and it doesn't just build up.
01:40What it sounded like he was saying
01:41was that he was having the small bowel obstruction.
01:43To translate into common English terms
01:46is his small intestine,
01:47which comes right off of the stomach, had an obstruction.
01:50He explained that it was from his prior surgery.
01:52There was probably some scar tissue
01:54that essentially closed off the intestine,
01:56preventing food and the liquids from traveling down.
02:00And as a result, you start vomiting profusely,
02:03you feel awful, your stomach starts expanding,
02:06you're bloating, you're uncomfortable.
02:07No matter what medicine you give to a patient,
02:10unless you either open up the blockage
02:12or take all the contents of the stomach
02:15and the GI system out of the body,
02:17you're not gonna stop vomiting.
02:19So putting in these NG tubes in patients like this
02:21was the number one way to relieve the symptoms
02:25and to buy time in order to get them to the procedure.
02:28Hey guys, I'm at the hospital right now.
02:33I'm fine.
02:34I've got an NG tube in my nose right now
02:37which drains stuff out of my stomach
02:38because I have a small intestine blockage.
02:43Man, this is unexpected.
02:45Came out of nowhere, but I'm fine.
02:47It's nothing life threatening.
02:49I don't even think I'm gonna need surgery this time.
02:52They're just gonna suck it out of me
02:54and hopefully that fixes the problem.
02:56In five years, two small bowel obstructions.
02:59Is that common?
03:01I mean, I know there are recurrences,
03:02especially once you've had an intestinal obstruction before
03:06and surgery and adhesions,
03:08but in his age, have you seen patients like this?
03:11Is it often?
03:12You know, I've seen patients like this,
03:13but there's no predicting
03:14when a bowel obstruction can happen again
03:17after it's happened once.
03:18If it's due to the scar tissue that we were talking about.
03:22Sounds like he might not need surgery this time around.
03:24So I don't exactly know
03:25if it's the same cause of the obstruction again.
03:28I wonder if there's something else going on,
03:30like maybe something we call an ileus
03:32where the intestines just slow to move.
03:34And in that case,
03:35it just needs time to kind of get going again.
03:38And we don't wanna, you know,
03:40add more food or a liquid to it.
03:42And it will sort of,
03:43we have to figure out why that ileus is happening,
03:45but you know, a little bowel rest might help.
03:49This is cool for the audience to know, right?
03:49They're probably wondering if he can't eat, he can't drink,
03:52how is he supposed to stay hydrated?
03:54How is he supposed to get calories?
03:56You wanna take us through the ways that we can do that?
03:59The main way we do that really is through the IV,
04:02through a vein.
04:03We're able to provide fluids that way.
04:05We're able to sometimes even provide nutrition.
04:07Some people have issues that prevent them
04:10from being able to eat for months on end.
04:12And sometimes people have to be on IV nutrition
04:16for a long time.
04:17I've got good news.
04:18The NG tube has been taken out of my nose and my gut
04:22because that's what it does.
04:23We did a bunch of tests this morning,
04:25a lot of x-rays and a lot of scans
04:27and some contrast to see if things were moving through me.
04:30And it seemed like things were moving through okay,
04:34which is good.
04:34So the doc said,
04:35we're gonna take it out and observe a little longer.
04:39I'm still not allowed to eat anything,
04:41but the doc said that if I can have a bowel movement,
04:44then everything is on the up and up.
04:46We're waiting for the bowel movement.
04:47We're waiting for the flatulence.
04:49It's funny because literally as a med student
04:51and as a resident early on,
04:52you're documenting like no flatulence as of yet.
04:55Like you're waiting for that moment.
04:57What's interesting to me is he mentioned the contrast
05:00that they're doing, I guess like swallow studies
05:02or is that something you usually do with SBOs?
05:05Yeah, I think that if we're suspecting
05:07that it's gonna clear up on its own,
05:09then we can get an x-ray and have them drink contrast.
05:12And that contrast will basically be traced through
05:16the intestine and make sure it's getting
05:17past the point of blockage.
05:19This is a tweet that came out the following day.
05:21All right, I'm ready for the tweet.
05:23Let's open it.
05:23Oh, he pooped.
05:25Yes.
05:25Actually, I think I saw this trending.
05:29Didn't this trend on Twitter?
05:31Hashtag he pooped.
05:32Hashtag he pooped.
05:34Isn't it funny to celebrate a bowel movement?
05:36Like people don't think that that happens,
05:38but doctors celebrate poops.
05:39What do we got?
05:40Six, Sam.
05:41The tweets inspired some memes.
05:43Okay, we got some memes.
05:44Congratulation, this certificate is to commend
05:47Mark Edward Fischbach for passing a bowel movement
05:51awarded the 3rd of December, sign everyone.
05:54This is a certificate of poop.
05:57You never thought that would come into the conversation.
06:00I wasn't sure if I was supposed to come in anyway,
06:02because I didn't know if it was gonna be a problem.
06:04But they said they were glad I did.
06:05And this is how I know the bowel obstructions
06:07are extra dangerous is because they said if I waited,
06:10that's usually how people die from bowel obstructions.
06:12I wasn't in any danger of dying
06:13because I came in way early.
06:15It's usually people that have these kinds of pain
06:17for bowel obstructions and they wait like a day
06:19or two days just to go in.
06:21Like if you've got some weird stomach pain,
06:23go see a doctor.
06:24Like it's probably nothing,
06:26but it could also be your intestines exploding.
06:29Okay, I don't want people to think if their stomach hurts
06:32for a few hours, their intestines may explode.
06:34That's why I think it's so important
06:35to have a primary care doctor,
06:37because if you have an established relationship
06:39with a doctor outside of an emergency setting,
06:42then you can contact that doctor and say,
06:44you know, is this okay?
06:46You know, is it okay to not run
06:48to the emergency room right away?
06:49That's exactly what I would say.
06:51That basically it's that triage component
06:53that people don't appreciate as much
06:56because they don't think about it.
06:56And it's natural not to think about it.
06:58But we have like a 24 hour answering service
07:01like most offices do that I tell my patients,
07:03like, look, if this continues into tonight
07:06or gets worse randomly in the middle of the night,
07:08you're not sure of what to do.
07:10Call our number, we'll have a resident who's on call
07:12give you a call back.
07:14They'll help triage of whether you can wait
07:16until an urgent care appointment in the morning,
07:18or do you have to go to the ER now?
07:20Because we can talk through the symptoms.
07:22We can talk through your history.
07:25You know, in his case,
07:26knowing that he has a history of small bowel obstructions,
07:28it is wise to come in earlier than later.
07:31But maybe in someone who, you know,
07:33ate some food and is having some diarrhea
07:35and some nausea for, you know, four hours,
07:38maybe they don't need to rush to the ER,
07:39especially if they have access to a good primary care doctor.
07:42The first time that it went down
07:44or the nurse tried to get it down,
07:45it went into my lungs.
07:47And now let me tell you,
07:51getting a lube covered plastic tube shoved into your lungs
07:56ain't fun at all.
07:57And it was, I felt so bad for the nurse.
08:00I ended up like, I felt bad for the nurse.
08:02Like, you know, she shoves it down into my throat
08:04and I'm just like,
08:05and she pulls it out a little bit,
08:07not all the way, so it's like still in my nose.
08:09And I'm like,
08:10I think that was in my lungs.
08:12And she's going like,
08:13no, no way that was in your lungs.
08:15And I'm like, listen, lady,
08:17I'm not gonna sue you or anything.
08:19Like, I'm just telling you,
08:20I'm not an expert at the inside of my lungs
08:22or how that feels, but that went in my lungs.
08:24Oh my God.
08:25Stat portable chest x-ray, please.
08:28You know, if he's coughing
08:29and he's not able to tolerate the tube placement,
08:32it could have gone down the wrong pipe.
08:33After you reach the back of your throat,
08:35it splits into your esophagus and then the windpipe.
08:38So there is a possibility that the tube may have,
08:41you know, at least temporarily gone down the wrong tube.
08:44Well, that's why, right?
08:45Like one of the parts of placing an NG tube
08:47is then listening for the stomach,
08:49for the lungs and making sure you don't hear it
08:52in the lungs and you hear it properly in the abdomen,
08:55maybe putting a little bulb on there
08:57and squeezing some air in.
08:58But if he's already like can't,
09:00and is struggling to breathe,
09:01I feel like that's a good enough sign for me clinically
09:03to know that I'm not doing the right thing.
09:05You know, it was so weird having the internet
09:07celebrate me having a bowel movement.
09:09I can't believe, I just like, I'm so,
09:12I knew it was going to be kind of like that,
09:14but I had no idea.
09:15It was like, you guys are going to make a trend on Twitter
09:17or something like that.
09:18I was just, hey boo.
09:21We are officially Markiplier fans here.
09:24Shout out, Mark.
09:24We're glad you're doing well.
09:26If you ever want to do a try not to laugh
09:28medical challenge with us, we're game.
09:30Dr. Chang, thank you so much for joining us.
09:32All of Dr. Chang's information
09:34is going to be linked down below.
09:35Check out all of his social channels.
09:37He's an absolute rock star, accurate info.
09:39He deals in not only in the hospital side of medicine,
09:43but also the social media side of medicine.
09:45What goes into that, training other doctors,
09:47truly amazing work.
09:48And if you want to see another great video,
09:50check out my video here on the harsh reality
09:53of being 800 plus pounds.
09:55Actually, the gentleman in this video is the pinned comment.
09:57Click here, and as always, stay happy and healthy.