Health

Doctor Reacts To Curb Your Enthusiasm Medical Scenes

– Curb your enthusiasm while
I curb my medical anger as to the medical accuracy
of Curb Your Enthusiasm. – Hurts right there? – Yeah. – Okay. So here’s the bottom
line with your knee. Okay? – Yeah. – You have a tear in your meniscus. – That didn’t look like he
was doing McMurray test. – Now, if you want to fix
this thing once and for all, you need surgery. – That’s not true. Most meniscus
injuries heal just great with conservative management,
including physical theory. – What if I got a second opinion? – Yeah. A second opinion is smart here, especially because it’s an acute injury. You can’t make predictions about how long this patient’s going to be out, until you see how they start recovering. I don’t rush to conclusions like this, and if a doctor is get a second
opinion. Good job, Larry. – Ow. Ah. – Oh, it’s right there. Yeah. Here’s the deal. You do have a tear in the meniscus, but it’s the outer edge of the
meniscus and that area will heal itself. I think some rest, some ice, some ibuprofen I’d put you on a PT
course, physical therapy. You can come here or you can
have him come to your home, whatever, whatever you like. – That works. The thing with ibuprofen and other non-steroidal
anti-inflammatory medications is that there are some new studies showing that using ibuprofen
early on in your injury can actually cause that
injury to not heal well down the line. There’s some instances where
it’s important in some instance where we can perhaps use
either a different medication or go no medication at all.
As crazy as that sounds. – One favor, just look
at this thing on my back, tell me if you think, what is it? – This happens way too often. This happened to me the other
day in my parking garage. Someone saw me getting out
of my car in scrubs and said, Hey, can you take a look at this? And I said no. – I don’t know what that
is. You know, you want to go to a doctor. – Really, really Do you know how many
different things can happen on your skin? I can’t even
begin to start naming the list. – You know that guy right over
there? That’s Dr. Wiggins. That’s who he was talking
about. He’s the Lakers’ doctor. – The Lakers’ doctor probably shouldn’t be diagnosing skin conditions.
No hate on sports med doctors. I used to dream of being
a sports med doctor. – I’m sorry to bother you with this. I got a little thing on my
back and I was hoping you could save me a visit to a dermatologist. – I’m sorry. I’m running a little late. – I mean, it would just
take a second really. I mean just say something or nothing. – That’s not how medicine
works. People think we’re robots where we can just see
it and know what’s up. Sometimes we need a dermatoscope. Sometimes you want to get your vitals. We want to ask your family history, whether or not you got
sunburned as a child, whether or not someone in
your family had cancer, all of that changes our
differential diagnosis. You think that can happen in
the state of mind a doctor’s in while they’re changing in a
locker room? I think not, Larry. – Oh my- – Oh Oh Larry hurt his ACL. – Easy, easy. Let’s get them out. – See in these situations,
when I was a sideline doctor, I would literally be asking,
did you feel something pop? Did you hear something pop?
What gave out? Did you, did you feel pain then
or only feeling pain now? Like all these are important
questions to gauge the severity of the injury, but then all the special
tests and all of that really happens outside of the floor
into the locker room because patients needs to calm down. Players need to relax when
the adrenaline rush is going. They’re not feeling everything. – Could you do me a favor. Would you mind just taking a quick glance
at this thing on my back? Tell me if there’s anything
that I should be concerned about. – Sure. Turn around. – Right here. You can see that? – This is a solar keratosis. – What is that? – It’s benign. It’s from the – Sunspot – Really? – I wouldn’t worry about it. – See, I don’t think a
doctor would really say that. I have a feeling this
person’s not a doctor because if we say no big deal and then it turns out to be a big deal, we’re in very big trouble. Also, sunspots can oftentimes masquerade or hide cancers below it, or
maybe mistaken for cancers. Knowing how dangerous melanoma could be, I would never
give that advice on the run. – Okay, Barry, come on. Let’s go. – I knew it – What? – Stay out of the sun. – I knew it wasn’t a doctor. – You’re not a doctor? – Sixth floor. Psychiatric. – Okay. I will go. As far as to say, if a doctor just casually gives
you advice that asking a lot of questions or gives you a cure, like here’s the magical potion
right here that’ll cure you before finding out the root of the problem and getting all the
information, that’s a red flag. – Can I make an observation?
That magazine collection. You really need to do
something about that. – I don’t know why that is. I feel like we discontinue
our subscriptions or we just get trials. Also, everyone’s on
their phone these days. – What are you doing?
Stealing your magazines from garbage cans? I have
never seen such a collection of (censored) in my life. (laughing) – So, what’s happening here
is called the stress test where we actually have patients exercise on a treadmill and we do an EKG live to see what’s happening with the heart. If there’s blockages in the
heart and the patient’s exerting themselves, AKA experiencing stress, we’ll see a pattern reflective
on the EKG that will tell us that. At which point we will
then have to have the patient scheduled for an angiogram or
maybe even a stent depending on how bad it is. But it’s not incredibly sensitive
at catching all blockages in the heart. So, this isn’t
one that we use for everybody. This is sort of becoming
more and more outdated. The nuclear stress test, the
CTA, even, are the newer tests that we’re using to diagnose
insufficient blood flow to the heart. – People Magazine. Tom cruise
is 40! Emilio Estevez is 40! – Dr. Mike, sexiest doctor alive! I don’t know why Dr. Fauci didn’t allow me to give him the sexiest
doctor alive title this year. How would you feel about me
passing on that title to you? (laughing) – No, thank you. You’re
definitely more sexy than I am. – Hey, Larry. – Hi, Renee. – How are you feeling? (Beeping) (Beeping intensifies) – That’s fake news. That’s
not how EKG is look. – Okay. Unfortunately, I can’t give you a clean bill of health, at this point, There was a little, slight abnormality. – I don’t know what form this is, but that’s not how tests work.
Looking what was happening on his EKG just looks
like he was tachycardic, which means his heart
was beating fast, fine, but it was so dramatic and not realistic. – I’m going to give you a
device called a heart holter. – A holter monitor is
basically something you wear on your heart for a period
of a day, two days a week, depending on what the probable cause is and it basically functions as
a live EKG that we can then look back on and see if there’s
anything happening in your, with your heart throughout the day, whether it’s a fast
rhythm, abnormal rhythm, and you could also, as a
patient, notify the system that you’re experiencing some symptoms, so then we can go back
and look at the rhythm, the EKG strip at that time, and
see if there’s anything that matches or could be causing your symptoms. – I got some bad news. – Oh. Louis? – Yeah. – Oh. – Yeah. – Kidney? – Yeah, both of them.
He’s gonna need a new one. – Well, is there a donor? – I don’t know. – I don’t understand what happened that both kidneys failed simultaneously. That’s kind of rare. I mean, it depends on what the condition is. – I have good news, gentlemen.
Both of your blood types are compatible with Mr. Lewis
for his kidney transplant. – Did you get the news? Huh? – Yeah. Yeah. – How about that? – I’m a lucky man. I’m
a lucky man to have two of you guys come through
for me. Thank you. – So, there you go. You got
your choice two, two kidneys. – Wow. – Of course. – I’m very grateful man. – You know, I, I am
considerably older than him. – That’s actually interesting
because as you get older, you actually lose some
of your kidney function. There’s a predictable curve that happens. And if you’re going to select the kidney, going based off age is not a bad strategy. – It’s bigger too. It’s
a big, hefty kidney. It could just handle a big load, I think, you know, you can start drinking again if you wanted to, with that thing. – Kidneys don’t process
alcohol. Liver does that. – Police believe that the
suspect, Peter Hagen is resp- – That’s that guy, Pete,
the guy got out of jail. – The victim of a shooting in
this case, a Mr. Louis Lewis, cousin of actor, comedian
Richard Lewis is in a coma. – Are they gonna use his organs instead? – Good afternoon. – Hello – Good hospital room.
Everything looks legit. Bed, suction canister, IV pole, bed pan. – Well, unfortunately,
he’s not doing too well. He’s in an irreversible coma. – He’s in a coma, but not intubated. Like how is he breathing for himself? – How long do you think he has? – I beg your pardon? – How long? – It’s hard to say. It could
be days, weeks, months. There’s been cases
where patients have been in comas for years. – What life support is he
on? He has a pulse oximeter on his finger, maybe an IV in to his hand, and then just like a nasal cannula for oxygen and basic blood pressure cuff. This person’s not on life support. – Louis Lewis has just
come out of his coma. – They’re back to figuring
out who gives the kidney. – What are you gonna do about your cousin? Who needs a kidney? – Who, Richie? – Yeah – Well, so, we’ll find him a kidney. – What about yours? – What are you crazy? I’m
not giving anybody my kidney. I just woke up. I’m going
to give things out now? – That’s very selfish. – Says the guy who doesn’t
want to give up his own kidney. – You are very, very calm, bro. – God will watch out for me. – May wanna tell the last guy. – Oh (Yelling) – What about my kidney? (Yelling) – Well, if a patient
like this doesn’t want to go through the surgery,
they cannot be forced, like, they’re volunteering and they’re allowed to say no at
any time. The same way that we’re able to, as patients
as, in charge of ourselves, able to say we do not
want to be resuscitated. And at the same time, if we’re starting to, let’s
say, go into cardiac arrest just before we finally
pass out to say, no, I want to be resuscitated and
doctors have to honor that. – See, this is what you
get for doing good deeds. (flat line) – Larry? – Oh my God. Check his pulse and start chest compressions, chest
compressions, chest compressions. Chest compressions! Why is everyone just looking? See, if they’d watched the
YouTube channel they’d know. I watched MASH. Check out my
review of that medical accuracy and as always stay happy and healthy. Click here to check it out. Come on. What? (upbeat music)
Video source: https://www.youtube.com/watch?v=8tMXt_KVCpQ

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