Doctor Reacts To Zach's Hospitalization | Try Guys - video Dailymotion

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Transcript

00:00Zach from the Try Guys got married,

00:02but he also had a terrible medical experience

00:04that we need to talk about.

00:06You may have seen me on Eat the Menu with Keith,

00:08but it's time to tackle Zach's medical concern.

00:11Let's get started.

00:11Be whoop!

00:13I stabbed myself with a four and a half centimeter

00:14shard of glass in the leg a month before my wedding.

00:17Why did he do that?

00:18I'm hoping this was an accident.

00:20So I take some picture frames

00:21and I decide to tuck them behind this treadmill

00:24that we never use.

00:25Treadmills are so incredibly dangerous.

00:28Obviously, I've seen how many injuries they cause,

00:30but I feel like many people have seen

00:32how many injuries they cause and serious ones

00:34because of the huge situation surrounding Peloton

00:37throughout the pandemic when they released their treadmill

00:39and actually young children

00:40were getting caught underneath them.

00:42So I'm power walking on the treadmill.

00:44I'm at the end of my 35 minutes

00:46and my legs are going back and forth, back and forth.

00:51I know where this is gonna go.

00:53And back, boom.

00:56I feel this electric shock just radiate,

01:00shoot through my foot.

01:01I feel a thousand tiny needles stab the bottom of my foot.

01:07I would later learn that this feeling

01:09is the shard of glass rubbing up against my nerve.

01:13Nerve pain is very unique.

01:15It's like electric, it spreads, it radiates.

01:17There's this tiny piece of glass sticking out of my leg.

01:20We remove the glass, we stop the bleeding

01:23and we go, okay, I think it's okay.

01:26But it's not okay if there's a cut,

01:27you still should get it treated

01:29because that's significantly deep of a cut

01:31and it's with a non-clean surface.

01:33So if a patient comes into my office with that,

01:36we decide whether or not the patient would benefit

01:38from an updated tetanus vaccine or a booster.

01:41So there's things that we need to keep in mind here,

01:43especially with the depth that I imagine it happened with.

01:46Four and a half centimeters shard of glass in my leg.

01:49I'm gonna make this part as quick as possible

01:51because we were at UCLA ER for 18 hours.

01:55And they have me in this makeshift room

01:56which is in the lobby

01:58with just like paper curtains around me.

02:00That's not, like that sounds terrible obviously for Zach.

02:03But in reality, a lot of our inner city hospitals,

02:06especially the ERs are so filled up

02:08that we have people in the hallways

02:10with no curtains, with no privacy.

02:12I'm getting x-rays, I'm getting CAT scans,

02:15I'm getting something called contrast

02:16which makes your CAT scan more effective,

02:18which also makes you feel like you're peeing yourself.

02:20That's fun.

02:21Contrast is basically an agent

02:23that you insert into your blood vessels

02:25through an IV and it then allows us

02:27to get a better visualization

02:29when we're looking for things that require blood supply.

02:31And then three different bedside doctors come

02:34and they go, I think I can give this a shot.

02:36And they just numb me and are wiggling around inside my leg

02:39trying to get the fricking piece of glass out.

02:42So I don't know what exactly the area,

02:44it's hard to tell from that image

02:45where the shard of glass is,

02:47but the fact that it's near his Achilles tendon

02:50makes me worried.

02:51It makes me worried for functionality of the tendon.

02:54Obviously the Achilles tendon is very important

02:56when we're walking.

02:57It's what allows you to push off and take that step,

02:59gives your calf muscle attachment to the foot.

03:01But also because of its depth,

03:03you have a lot of blood vessels there,

03:05nerves, as well as bone.

03:07That can lead to an osteomyelitis

03:09which is an inflammation due to an infection of the bone.

03:12And that requires IV antibiotics

03:14and an extended hospital stay.

03:16And we're going, hey, maybe we should go into the,

03:18go to the surgery team.

03:19And they're like, I got it, I got it.

03:21Surgery team or maybe the ortho team.

03:25And then they're like, oh, I don't got it.

03:26Three times.

03:28Ouch.

03:29The surgery team comes by and they say,

03:31hey, we're bringing you upstairs.

03:34Time to cut you open.

03:35I wake up from the greatest nap of my life.

03:39And I immediately text my friends and family this photo

03:43and say, I lived bitch.

03:45That's a confident person right there.

03:48The next few weeks would be spent icing

03:50and elevating and resting.

03:53During this time, Maggie was taking great care of me.

03:54My friends were taking care of me.

03:56I believe he was also in a previous video

03:59talking about how he has an autoimmune condition.

04:02I got diagnosed with ankylosing spondylitis.

04:05Where he was taking a medication

04:07that could potentially make you immunocompromised

04:09or immunosuppressed so that it could raise the chance

04:13of you developing an infection.

04:14I actually had to get off my medicine.

04:16That's something that I wasn't able to fit in the video.

04:18It is the most wound healing inhibiting medicine

04:23that you could ever be on.

04:24So for two months, I had to get off my medicine

04:27which caused a whole other slew of problems

04:29with my arthritic symptoms.

04:33But it also caused a lot of complications

04:36for the healing itself.

04:38Oh no.

04:39I'm just gonna cut to the chase

04:40and tell you it got infected.

04:43The skin is big and puffy and red and oozing.

04:47It's likely that a cellulitis has formed

04:49as a result of a post-operative complication.

04:51In patients who have recently undergone medical procedures

04:54or have spent time in the hospital,

04:56we consider those patients to be high risk

04:58for the development of cellulitis from MRSA

05:01which changes the type of antibiotics that you choose

05:04because MRSA means methicillin-resistant staph aureus.

05:09And in those situations, you need to use a medication

05:13like doxycycline or clindamycin

05:15that have some MRSA coverage.

05:18Your boy was growing not one but two infections.

05:22Two bugs inside my leg.

05:24Very cool.

05:25MSSA.

05:26All right, so this is interesting.

05:27He has MSSA which is methicillin-sensitive

05:31which means that you don't need to use

05:33the two antibiotics I mentioned earlier.

05:35It's one that is sensitive to other antibiotics,

05:38the ones we use more commonly.

05:40And serratia.

05:41It's serratia, not sore.

05:43Did you call me out for spelling serratia wrong?

05:47Serratia is usually what we call an opportunistic

05:50or nosocomial infection

05:52which means opportunistic that when you're immunocompromised

05:55like if you're on a medication for an autoimmune condition,

05:58you're undergoing chemotherapy.

06:00When you have a dropped immune system,

06:02a weaker immune system,

06:03that's when that bacteria is able to overcome

06:05your body's natural defenses.

06:07And then nosocomial means that you get it in the hospital

06:10because that's where that bacteria tends to be more found.

06:12These are not things that you would generally need

06:14to even worry about as a patient.

06:15This is more so for us when we get our cultures back,

06:18we actually grow this bacteria in a culture, in a medium,

06:23and then the report will tell us which bacteria is present

06:26and then what antibiotics this bacteria is resistant to

06:30and sensitive to so we can choose the right approach.

06:33And generally when someone is very sick in the hospital,

06:36like really sick,

06:37we start with a very broad set of antibiotics

06:39meaning broad so that they work on many different bacteria.

06:43We call them big guns in the hospital.

06:44And then once we get the cultures and sensitivities back,

06:47we can then narrow down the spectrum of activity.

06:51And the reason we do it this way is very strategic.

06:54I'll kind of do like a war reference.

06:56If you're using an antibiotic

06:58that treats all types of bacteria,

06:59it's like you're dropping a giant nuke.

07:00So lots of collateral damage to the human body.

07:03If you find out what the cultures sensitivities are,

07:05you can do a very targeted like laser guided strike

07:08and it goes right to the source of the bacteria

07:10and there's much less collateral damage.

07:12Okay, let's speed run this.

07:13I get another CAT scan.

07:14I have a hematoma

07:15and a big old cluster of infection in my leg.

07:17So hematoma is not surprising

07:19given the fact that there was so much blood loss.

07:21Hematoma is essentially a walled off section of blood.

07:24It can happen after trauma.

07:25Not to mention three pieces of glass

07:28they missed the first time.

07:29I get another surgery.

07:30I live bitch part two.

07:32They flush the wound out.

07:33They put this thing called a Pemrose.

07:34It's like a forbidden boba straw

07:36sticking out of my leg.

07:39It helps the wound drain and not get infected again.

07:41When wounds don't drain well,

07:43what happens is your body wants to naturally protect itself

07:46from the infectious agent

07:48and it creates a section around the infection.

07:51It creates like a pocket.

07:52That's what basically an abscess is.

07:54But when that happens,

07:55now you're stuck with that pocket of bacteria

07:57that can A, grow,

07:58or B, if it ruptures at any moment,

08:00it can be a surgical emergency.

08:01So that if you keep a drain in,

08:03all the bad stuff can keep coming out of your body

08:06while your body continues to fight off the infection.

08:08My wonderful wife had to pack my wound every single day.

08:12I had a four and a half centimeter hole in my leg.

08:16We wanted to keep that open.

08:17We didn't want it to heal over on the top.

08:19So she would take a sterilized Q-tip

08:22and some sterilized gauze and like poke,

08:26poke into my hole twice a day, every day,

08:28including on our wedding day.

08:30This time they keep me in the hospital for four days.

08:33At this point,

08:34I started filming a little more at the hospital

08:36because I was bored.

08:39Hey, I'm Pete.

08:40All right, so his pulse is quite high there, 94.

08:43Not sure if he's developing a fever

08:45cause that can make your pulse go up

08:46or he's just excited being on camera,

08:48but definitely a 94 for a comfortable resting pulse

08:52is a bit high.

08:52Finally, we got my antibiotic

08:54and we think I'm gonna get to go home today.

08:57The real fun starts three days after that

09:00when I start developing

09:02a fever.

09:03Oh no.

09:04When I have a patient leave,

09:06I give them things that they should anticipate,

09:08but also if things occur, what to do.

09:11And the first thing is if a fever starts,

09:13you gotta come right back or call us right away

09:14because that is a sign that there's some kind of infection

09:17or new infection happening.

09:18I am running a fever,

09:19which is a bad thing to be running

09:22if you've been fighting two infections inside your body

09:24and you're immunocompromised.

09:26There's this fear of the infection

09:28reaching your bloodstream

09:29and you entering something called sepsis.

09:32Yeah, so sepsis is definitely a concern.

09:35So sepsis and septicemia are two different things.

09:38Septicemia is when you start getting the bacteria

09:41actually or an infection in your bloodstream.

09:43Now, sepsis is the reaction of your body to the septicemia

09:48where your body almost like overreacts,

09:50causes this huge inflammatory cascade

09:53where your blood vessels ultra dilate,

09:55your blood pressure starts dropping,

09:57potentially driving you to septic shock,

09:58which can cause organ failure, increased clotting.

10:01You could see why there's an emergent situation

10:04about to occur.

10:05And to complicate things,

10:06I spent the day having diarrhea more times than I can count.

10:10And that's also problematic

10:12because he's been on so many antibiotics at this point.

10:14It puts you at a high risk

10:15for developing Clostridium difficile infection,

10:17which is also known as C. diff

10:19because one of the biggest risk factors for C. diff

10:21is taking antibiotics.

10:23The only way to know is to get a sample of the stool

10:26and send it out for C. diff toxin testing.

10:29We get to the emergency room.

10:32My heart rate was 130 when I was sleeping.

10:36So notice I was already paying attention

10:38to his heart rate before,

10:39but now it's going even higher

10:40because something's going on metabolically in his body.

10:43Part of that is his fever.

10:44When you have an infection and your fever is elevated,

10:47your pulse also goes up

10:48corresponding to your body temperature.

10:50Also, when you're dealing with an infection,

10:52your body requires more blood flow,

10:54the heart works harder.

10:55My white blood cell count, usually around nine,

10:58was 14 the first time I was infected.

11:00Now it's at 26.

11:02So that is very high and that's a sign

11:04that there is now a significant infection

11:06somewhere in the body.

11:07I cannot stop pooping.

11:11They make me give them a sample of the poop

11:14and they send me into the bathroom

11:15with a jar and a Popsicle stick.

11:19And when I tell you that this was not something

11:21that was Popsicle stickable,

11:2512 days out from my wedding at this point.

11:27So I am diagnosed not with sepsis,

11:29not with a reoccurrence of my infection,

11:31but with something new.

11:33I have C. diff.

11:35C. diff is basically a super infectious diarrhea bug.

11:39It's something that you commonly can get

11:41when you're on too many antibiotics.

11:44And now you have the big bad poop disease.

11:47The reason why antibiotics are a risk factor

11:49for the development of C. diff

11:50is because when you take antibiotics,

11:52you kill all the competing bacteria in the gut

11:54and the antibiotics don't kill the C. diff,

11:56so the C. diff multiplies

11:58and therefore becomes a predominant strain,

11:59causing infection, all these problems.

12:01It's super contagious.

12:02So anyone who comes in here has to wear a special guard.

12:05Hand sanitizer doesn't work because it is a spore.

12:09You have to wash your hands with soap and water.

12:12This is absolutely true.

12:13So any patient in the hospital

12:15that is being tested for C. diff

12:17or has already tested positive for C. diff

12:19gets put on something known as contact precaution

12:21where everyone puts on a gown

12:23because the way that this is spread

12:24is through contact, basically touching it,

12:26and then bringing it to your mouth.

12:28And as he said correctly,

12:30alcohol-based hand sanitizers don't work on the spore

12:32and you actually have to physically wash your hands.

12:35The medicine, god damn, medicine is great.

12:38And I am feeling so good, I am ready to go home.

12:42But because this story needs another turn,

12:46my insurance company will not approve.

12:49What?

12:49My medicine, I can't go home without my medicine.

12:52I got discharged from the ER.

12:54We go downstairs, we pack up.

12:57We're ready to go home.

12:58Then go to the pharmacy and they go,

12:59oh, your insurance hasn't approved this.

13:02You're not allowed to leave.

13:03And we're like, oh, we've been discharged.

13:04And they're like, well, no, no,

13:06you shouldn't have been discharged.

13:07You gotta go back upstairs immediately.

13:09And we go, hey, funny thing,

13:10I'm actually not allowed to leave yet.

13:12And the nurse looks at me and he's like,

13:13I checked you out already,

13:15so you're gonna have to go back to the waiting room.

13:18And I'm like, good sir, I can't go back

13:21to the waiting room.

13:22That's gonna be an eight-hour wait

13:23where I'm exploding out of my wounded buttocks.

13:27I can't go back.

13:28So they were trying to tell me

13:29that I had to go back to the waiting room,

13:31get readmitted, do the whole thing all over again.

13:34Spread C. diff across the entire hospital.

13:37Give it to everybody.

13:38So just so people know, the treatment for C. diff,

13:41especially for what looks like to be a non-severe case,

13:43it's hard to know exactly,

13:44but for the treatment for a non-severe case of C. diff,

13:47the medication that we use is vancomycin or fidaxomycin.

13:51Ironically, vancomycin, we usually only give through IV

13:54because when you take it orally,

13:56it doesn't get absorbed into your bloodstream.

13:59And as a result, if you have an infection somewhere

14:00and you take vancomycin,

14:02it won't get to where the infection is.

14:03However, if your infection is in the gut,

14:06vancomycin is perfect to be taken orally

14:08because it stays in the gut

14:09and treats your infection in the gut.

14:11There are obviously surgical situations

14:13where you need to act and do like a colectomy

14:15and actually take a part of the colon out.

14:17That's how bad C. diff can get.

14:18You can develop something known as toxic megacolon,

14:20very serious complication.

14:22But one of the unique things that we do

14:23to treat recurrent bouts of C. diff,

14:26which can happen in many patients,

14:27is doing a fecal transplant

14:29where you actually go with a colonoscope

14:31and put fecal matter from a family member

14:33directly into the colon.

14:35That brings in a wide variety of bacteria.

14:37As a result, they compete with the C. diff

14:40and the cure rates are actually pretty high.

14:41Side effects are pretty low and it works for many people.

14:44For three of these days, I am stuck in the emergency room

14:47because I don't think people realize this.

14:50Hospitals never recovered from COVID.

14:53And I don't just mean people getting sick from COVID,

14:56which yeah, is still a thing, is still happening,

14:59but it's just this backlog of patients

15:02and more people getting sick.

15:04This isn't even just a COVID issue, by the way.

15:06This has been an issue.

15:07And that's why the biggest issue early on with COVID,

15:11like the first two months,

15:12where we saw our hospitals get just beyond overwhelmed,

15:14like they were already overwhelmed.

15:16Now they were getting beyond overwhelmed.

15:17We need to figure out what's going on.

15:19Let's lock down and figure out what's happening

15:21because otherwise, if our healthcare system

15:23completely breaks, then everyone is screwed.

15:26The ER hallways, not the rooms,

15:28the hallways are lined back to back to back with beds.

15:31Everywhere you can see, every square inch of that place.

15:34And I'm stuck in the ER

15:36because the rest of the hospital is filled.

15:38It's called code red census.

15:40And the problem is also more hospitals continue to close.

15:44And as a result, it puts more strain on the other hospital.

15:48Nurses are burnt out.

15:49They are quitting.

15:50Hospitals are understaffed and overworked.

15:53So many of my nurses were traveling nurses

15:55who this was their first day in California,

15:58let alone this hospital.

15:59I mean, they didn't know where things were.

16:01They're just trying their best.

16:02The American health system is failing us.

16:05I know we like to really shit

16:07on the American healthcare system.

16:08And it is a disaster.

16:09I say it all the time.

16:10I just came back from France.

16:11I did a trip there presenting with Google and the WHO.

16:14And I spoke to a lot of their medical creators,

16:16doctors, nurses.

16:17They have their own problems, very similar to this,

16:20but on the other end of the spectrum

16:21because they're a nationally funded healthcare system.

16:23I talked to my colleagues in the NHS.

16:25They talk about the disaster

16:27that they're having with underfunding.

16:28People in Canada are having their own struggles.

16:30This is a problem universally,

16:32granted for different reasons.

16:34And I'm not saying that they're all equal.

16:35The problem is across the world.

16:37We need to really figure out this inequity that exists

16:41and stop the commercialization of healthcare,

16:43at least in this country.

16:44Finally, for the third time in a month,

16:47I was discharged from the hospital

16:50with seven days to go until my wedding.

16:53It was time to get married.

16:55Hey guys, so news update from the hospital.

16:59I'm out.

17:00Yeah, get me out of here.

17:02Let's go.

17:03I was able to walk down the aisle,

17:05dance the night away

17:06and have a party beyond my wildest dreams.

17:10But my ankle did swell up like crazy

17:13the next morning after from dancing.

17:14Ah, oops.

17:16That's from gravity, not just from dancing,

17:18just from standing.

17:18Actually, the dancing probably decreased the swelling.

17:21I got very lucky with how it went.

17:23I haven't really needed physical therapy.

17:25I've been able to just kind of work

17:26the strength back myself, so.

17:28Please be careful.

17:29That's the only message I'll leave here.

17:31We need you to continue staying happy and healthy.

17:35Despite the happy ending, that was a heavier video.

17:38So how about a laugh with a little bit of medical memes?

17:40Click here to check that out.

17:41And as always, stay happy and healthy.

17:43And congratulations to Zach.

Doctor Reacts To Zach's Hospitalization | Try Guys

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