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Transcript
00:00The Try Guys have tried a lot of medical stuff.
00:03Aaaaaah.
00:03Let's see what's been legit, and what's been not.
00:07Pew!
00:07The Try Guys, the Try Guys, Guys, Try Prostate Exams?
00:14The Try Guys, Guys Try Prostate Exams.
00:16Ahh.
00:17Movember is this thing that helps raise money
00:19and awareness for prostate cancer.
00:20Movember's a great organization.
00:22We're not growing mustaches.
00:23We're doing one better.
00:24And it involves the finger.
00:26Butt stuff!
00:27Today, we are going to get our prostates examined.
00:28At least they said finger.
00:30I remember watching the first episode of Grey's Anatomy.
00:32I'm just gonna insert my fingers into your rectum.
00:36Why fingers?
00:37If it takes just one finger up the butt
00:39to find out a life or death situation,
00:41stick the whole hand up my butt.
00:42Wait, what did you say?
00:43Prostate cancer is the most commonly diagnosed cancer
00:47amongst men in the United States.
00:49Very important to point out,
00:51while it's the most common cancer,
00:52it's also the cancer that many men die with, not of.
00:58So there's a huge majority of men over the age of 80
01:00who actually have prostate cancer,
01:02but end up dying of other causes.
01:04So what we've come to realize
01:05on how we've changed our management with prostate cancer
01:08is unless it's an aggressive form of prostate cancer
01:10or a treatable form of prostate cancer,
01:12we do a watchful waiting period
01:14where we monitor but don't actually treat.
01:17Because what we've come to realize is treatment
01:19and even diagnosis in some cases
01:21can be worse than just letting the disease be.
01:23It rarely occurs in men under 50.
01:27I don't actively think about being susceptible to cancer.
01:29It's not in my family.
01:30I'm a young person who can take on the world.
01:33Testicular cancer is a cancer
01:35that the try guys need to worry about.
01:38Okay, that was a weird scene,
01:39and I don't know if they did that for comedy.
01:41A doctor should never be palpating an area
01:43without visualizing it.
01:44Yes, you might be able to feel masses,
01:46but you might miss like a terrible rash.
01:48You might press on an area that's very tender.
01:50Because testicular cancer is the most common cancer
01:54amongst men aged 20 to 40.
01:56That's true, and actually testicular cancer
01:57has this like weird bimodal distribution
02:00where it peaks in younger men, kind of flattens out,
02:02and then also peaks in older men as well.
02:04The good part about it is it's rare.
02:06The second good part about it is quite treatable,
02:08even if it spreads.
02:09So we're gonna do the genitourinary exam
02:11and examine your testicles
02:12to see if there's any abnormality, okay?
02:14We're not just checking the testicles.
02:16We're checking the epididymis.
02:17We're checking the glands.
02:19We're checking for rashes.
02:20We're checking the pubis.
02:22We're checking the pubic hair.
02:23The left one feels just fine.
02:25Do I need to cough?
02:26You don't need to cough.
02:27When people say to cough,
02:28what we're actually looking at is hernias,
02:30which are checked in the same area.
02:31And the reason we cough, by the way,
02:33is to raise intra-abdominal pressure
02:35so that when we are in the inguinal canal,
02:37if there is a hernia, we'll feel it poke
02:39and hit like the intestines or abdominal contents
02:41poke our finger while we're in there.
02:43Men that are age 25 to 40 have to get their nuts felt,
02:47and men that are age 50 or older
02:49have to get their butts poked.
02:50That's basically right.
02:52That's not basically right.
02:53We actually have moved away.
02:54The United States Preventive Service Task Force
02:57states that prostate exams
02:58are a shared decision-making process
03:00between a doctor and a patient,
03:02not something that is unequivocally recommended.
03:04Eye on your side with your right side down.
03:06Bring your knees up a bit to expose your bottom.
03:10Okay.
03:11Bottom exposed.
03:12Don't some people bend over?
03:14Yeah, that can be done also.
03:15You can just stand up and lean over
03:17and put your elbows on the table.
03:18Has anyone done like missionary style?
03:20The doctor had us lay on our sides.
03:22Eugene, of course, bent over
03:24because he's Eugene.
03:25I think it goes deeper when you do doggie style.
03:28And he poured a ton of lube on that finger.
03:31Actually, when we were med students,
03:32we would do this,
03:33and I remember the simulated patient
03:35that would actually be having it done to him
03:36multiple times over and over again
03:38would check our nails
03:40and had a nail clipper with him
03:41to actually decide
03:42should someone clip their nails before doing it
03:44because apparently people have heard him in the past.
03:46Pressed his finger up against my delightful anus.
03:49Oh.
03:50Give you some pressure.
03:51And then just went.
03:51Blah-ga-blow!
03:53Move in my butt.
03:54Oh my God.
03:55Oh my God.
03:55And then he said,
03:56okay, we're going,
03:57and then, fwoom.
03:58And it's nice and smooth.
04:00Great.
04:01You're essentially checking for masses.
04:02You're doing like a sweeping motion
04:04because the prostate is at the bottom portion.
04:05If you feel any irregularities,
04:07if you feel enlargements,
04:08those are all potential abnormalities.
04:10Everything feels fine, normal, smooth.
04:12So that was efficient,
04:14super quick,
04:16very painless.
04:17Whoa, that was way deeper than I expected.
04:18Lubed up, in and out.
04:19And you feel fine.
04:21All right.
04:22And here's some tissue if you need it.
04:26I actually did a simulated prostate exam
04:29on a robot in the UK on live television.
04:32Here you go.
04:33So we have to do something called a digital rectal exam.
04:35It's a finger up the bum, isn't it?
04:37It's a finger up the bum.
04:40What are we going to be doing today?
04:41Well, today we're going to be doing a little bit
04:43of electric stim on our gentleman right here.
04:45We're going to use it to simulate and mimic labor pain.
04:47Do you think we'll die?
04:49Once we can't handle any more pain,
04:51our safe word is epidural.
04:52Childbirth is so painful
04:54that you would gladly have a needle stuck
04:57between the two vertebrae in your back.
04:59It is a needle,
04:59and then usually a catheter is inserted over it
05:02in order to give a continuous line of medication.
05:04And the purpose is not for anesthesia,
05:06but for analgesia to basically allow the patient
05:09to not feel terrible pain,
05:11but to still keep some sensation of their contractions,
05:14keep some ability to contract and push.
05:16This will mimic a lot
05:17because it'll actually make
05:18the whole abdominal region contract.
05:20In real childbirth, it's your full torso.
05:22It's your stomach, and it's your back.
05:24And your uterus, so you can put it inside you.
05:26You may not know this,
05:27but a great many women poop on the delivery table.
05:29Because the act of pushing
05:31is very much like having a bowel movement.
05:33That's very true, and that happens quite often.
05:35I think I've said it like so many times in my videos,
05:37and people still don't believe me.
05:40Ah!
05:44Ah!
05:46Ah!
05:48Ah!
05:50Epidural!
05:50Epidural!
05:52Epidural!
05:53Ironically, I feel like I've seen that happen
05:54in the hospital, where patients said
05:56that they didn't want an epidural,
05:57and then they changed their minds.
05:58My wife had an emergency C-section with our first child.
06:01So I'm behind a curtain with my wife,
06:03and the doctors are doing their thing behind the curtain.
06:04They said, wait until we give you the cue to stand up.
06:07I thought I heard the cue.
06:09So I stood up.
06:10And I'm gonna predict what he's gonna say.
06:12He's gonna say that the uterus is completely inverted
06:15and laying just on the belly, and he passes out.
06:18And I look, and what I saw was my wife's abdomen,
06:21you know, cut open and clamped back,
06:23and on a table next to her,
06:25they'd taken out her intestines and her liver,
06:27and all this stuff.
06:28They were in bowls on the table.
06:30That's how they do C-section.
06:33What?
06:35They did not remove his wife's liver.
06:37I promise they did not remove his wife's.
06:40Maybe it was the placenta or something, but.
06:44This is Travis.
06:45This is one of Ned's best friends.
06:46They went to high school together.
06:48So this is our high-fidelity birth simulator.
06:50Her name's Fidelity?
06:52High-fidelity.
06:53So it's time.
06:54Let's do this.
06:55All right, honey, I need you to push for me.
06:56And as we're pushing.
06:58Nine, eight.
06:59All right, so this is going to be a lot of pain
07:02and pressure for the mother.
07:03You're doing great.
07:04Maybe you're doing great, Travis.
07:06Come on, push.
07:07Do it.
07:08Oh, you're doing so good.
07:09A lot of times, it's nurses doing the coaching
07:12a lot better than the doctors, not gonna lie.
07:14What do you mean help him?
07:15There's nothing to do.
07:16What, do I pet it?
07:18That's my job.
07:19So basically what you want to do
07:20is you want to control the baby's head
07:22so it comes out very slowly and gradually
07:24because the last thing you want
07:26is for it to come out real quick
07:27and then actually cause a tear in the vagina.
07:29So you want to control it
07:31and make sure it's coming out smoothly
07:32and help the baby rotate out
07:34so that there is no chance of the shoulder
07:35essentially getting caught
07:36and causing damage to the nerves that supply the arm.
07:39Oh God, it's insane.
07:41Baby's head's coming out.
07:43There we go.
07:44At that point, you want to visualize
07:45that the umbilical cord
07:46is not wrapping around the baby's neck
07:48because otherwise you want to remove it right away
07:51because it could actually choke the baby.
07:52She's like screaming now, right?
07:54Like how do I kind of just like
07:55defuse the situation like emotionally?
07:57Get the baby out.
07:59Why are you tipping it away from the table?
08:00I want the table to catch the baby.
08:01In real life, you're gonna have to catch the baby.
08:03I have to catch a baby?
08:04Well, it doesn't shoot out.
08:05The last part does shoot out
08:07because remember there's a lot of force
08:09and then once like the major areas
08:11like the shoulders and the hips are out,
08:12then the baby's kind of very slippery
08:13so you want to be able to get a good grasp.
08:16Grabbing almost like by the back of the neck
08:18gives you a better support on the top
08:20and then the second hand is on the bottom.
08:21Gently push down and then gently pull up.
08:24So down.
08:25So when you push down,
08:26you actually drop the shoulder below
08:27and then you get the other shoulder up as well.
08:29Baby's, oh, there we go.
08:32Yeah.
08:32No, that was a little too hard, sorry.
08:34Widest part of the baby is out.
08:35There you go.
08:36Look at that.
08:40You got it.
08:40See, look.
08:41Don't catch it.
08:42There you go.
08:43Perfect.
08:44And right away, we do something called baby to breast
08:45where we bring the baby.
08:46Once we make sure that the baby's APGAR scores are okay,
08:49we bring the baby to the mom,
08:50put it on mom's chest,
08:51allow the mom to spend some time with it,
08:52bond right away.
08:53We see better outcomes like that.
08:55Less stress for the baby as well.
08:58Also during the process,
08:59you always want to keep an eye on the dad.
09:00The dad just, or the partner is just like, boom.
09:05The Try Guys aren't the only ones who try.
09:07I tried out some of the most crazy
09:09and some good Kickstarter products.
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09:13and as always, stay happy and healthy.
09:15There's one that made me gag.
09:17Click here to check it.
09:18Come on, watch it.