Doctors React To Markiplier's Health Emergency

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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.