- The hit novel by John
Green turned into a movie is something I'm about to
react to at your requests. Let's see the masterpiece. Oh, and huge thank you to Grub Hub for sponsoring this video. - Late in the winter of my 17th year, my mother decided that I was depressed. - She eats like a bird, She
barely leaves the house. - I'm not depressed mom. - She's reading the
same book over and over. - She's depressed. - I'm not depressed. - Okay, no one should make
decisions for you to say whether or not you are depressed or aren't depressed. Especially if you are clearly stating that you are not depressed. We use objective tools like the PHQ nine, which is a scale where
patient answers questions about their current
state of mental health, and from there we can make a diagnosis. - I may switch you to ZOLOFT, RELAXAPRO and twice a day instead of once. - This is not the way a doctor's visit surrounding mental health or even depressive symptoms should go. It should be more of a conversation between the patient and the doctor. The mom should leave the room. Its about getting an intimate knowledge of the patient's situation How they feel, what's
going on in their life. Are they having any negative
or distorted thoughts that are really destroying
their current feelings. - Have you being going to that support group I suggested? - Yeah, it's not my thing. - Support groups can be a great way for you to connect with people. Who are? - Who are? What? - On the same journey. - Support groups are
a very positive thing. A lot of times when you're
feeling down depressed, having some sort of distorted thoughts, what ends up happening is you feel alone. And by going to a support group
and seeing that other people are going through something
similar that you're going through, perhaps sharing
their stories of success, or even stories of
difficulties, that connection, that sort of hive mentality
that gets triggered actually helps release some
positive neurotransmitters. Release some endorphins
allow you to feel closer to other people thereby decreasing the severity of the depressive symptoms. - I'm Hazel, Thyroid
originally but now with quite the impressive satellite
colony in my lungs. - So, what she's saying is she initially started having Thyroid cancer
which then metastasized meaning spread to her lungs, thereby necessitating the oxygen that she has in her nasal cannular there. The most common types of thyroid cancers, are actually very benign. The five-year survival
rate is quite high in them and the most serious thyroid cancers while they are the rarest are some of the most devastating cancers that you could develop in the human body. - And that was my life. Reality shows, doctor's appointments, eight prescription
drugs, three times a day - So the big problem with taking a lot of medications like that is
basically Polypharmacy. There is a lot of interactions that happen when you have interactions
you have side effects, so you are nauseous, you're fatigued, your muscles ache. all this sort of side
effects are almost needed in order to battle of this cancer or at least give you a
longer time here on Earth. So it's tough, It's not an easy journey. I've witnessed it
firsthand with my patients and obviously with my own mom who unfortunately lost her life to cancer, but it's a difficult journey. If you ever had a loved
one that you took care of or witnessed battle cancer?
You know how hard it is? - Hey guys? Hi, I'm Isaac. I have Retinoblastoma. We had surgery on one
eye when I was younger. - Retinoblastoma is a type of cancer of the retinal area of your eyes which is like the light absorbing
portion of your eye. The posterior portion of the eye. It could be diagnosed
with a proper light exam. When we shine the light on the eye, we actually see a red
reflection of the blood vessels. But if there happens to be a tumor blocking that red
reflection, you actually see a white reflection of the eye. And that is a serious
serious risk that you need to be further investigated
for Retinoblastoma. - I'm Augustus waters, I'm 18 years old and I had a touch of Austria so come about a year and half ago so I've lost this baby as a result now I'm part
cyborg which is awesome. - Prosthetics have come really far over the last 20 years. Not only are we starting to
send feedback to the prosthetic from our brains in order
to control them better, we're now working and
experimenting on getting sensory feedback from the prosthetic
back into our brains. And if that happens, that's going to be
absolutely revolutionary. Back to the movie in just a second. But first I want to talk
to you about Grub Hub and their grub hub guarantee, where you get your food
delivered at the lowest price, and on time guaranteed
or they'll make it right. Look between working in the
hospital, making YouTube videos. My schedule is super unpredictable, which is why I rely on
the Grub Hub guarantee. So I know when I place an order, it's going to show up
what it says it will. For instance, today for lunch, I ordered sushi for me and the guys because I can trust when the food is gonna show up. We're able to plan ahead and
keep the day on schedule. The app is so easy to use, giving me access to a wide variety of my favorite local restaurants and their drivers offer
contact list delivery. So I just open the door and its lunchtime. Click the link in the description to order your local favorite and test that Grub hub guarantee for yourself. On time and delicious. Now lets get back to the movie. - Really, that is disgusting. You were doing really well too. God, there is always a
hermasha ,isn't there? And yours is even though
you had freaking cancer you are willing to give
money to a corporation for the chance to
acquire even more cancer. Let me just tell you not
being able to breathe sucks. - It does, and a lot of people think that smoking increases rate of lung cancer while that is true, you
not definitely gonna get lung cancer by smoking. What you will get is
decreased lung function. When you have a mega high chance of getting is Emphysema, COPD. True problems that are
detrimental to life quality. Imagine losing the ability to take a full deep breath at age 40. Do not smoke. - I never lit one. It's a metaphor see. You put the thing that does the killing right between your teeth but you never give it
the power to kill you. A metaphor. - That's what you got, buddy. That's your pickup line. How's that working out for you? A wet loose cigarette in your mouth. Delicious. - The most important thing in any MRI, is to lie completely still. But that day it was almost impossible. - Yeah. It's really
hard to lay still like, and you need to lay still. It's also super loud, uncomfortable, claustrophobic in there. I've gotten a couple MRI's. It's brutal. And if you have to get multiple MRI's over and over again, they
got to find a better way. - And then this happened. - Oh no, she febrile
it looks like a fever. She's very sweaty, night sweats, common symptom, common side effect in cancer is night sweats. That's why if you ever go to the doctor and we have some symptoms that we don't quite understand, we
ask about night sweats and unintended weight loss. (Dramatic music) So we have a pulse of 112, oxygen saturation of 97, with blood pressure of
127/80 which is acceptable. - Fluid in the lungs
preventing oxygenation They put a tube in, drained like a liter
and a half last night. - Chest-tube from a Plural effusion the space that surrounds your lungs can sometimes be filled with fluid, whether from a cancer or
from an infectious process and as a result it makes it very hard for the lungs to expand causing you to be Hypoxic and vital organs start suffering very quickly. - Normally the tumor start
resisting the treatment and that hasn't happened here, yet. On the other hand, the drug may be worsening the edema. - Truth is very few people
have been on Phalanxes for as long as Hazel has. We really don't know
the long-term effects. What we are trying to do is
prevent Endothelial growth. - Endothelial growth is
basically blood vessel growth. So the tumor starts expanding, creating new blood supplies,
thereby feeding itself. So I had PET scan and it lit up like a Christmas tree. - As a scan essentially looking at metabolic activity, in certain parts of the body, it will light up like that. - Are you in pain? - No? I'm okay. - Cancer related pain is one
of the worst type of pain. That's why some of the most
powerful pain medications are used in cancer care. You think of why like
Fentanyl was even developed. It was specifically targeted
for cancer related pain. - How's he doing? - He's had a tough night Hazel, his blood pressure is low. - So in a situation like his, I don't know if he's
struggling with Sepsis, that can cause a low blood pressure also cardiogenic shock if he's having congestive heart failure but all of that can contribute
to a low blood pressure, which obviously you can fix temporarily by giving fluids, blood
transfusions, pressor. But at the end of the day,
unless you treat the source, it's never going to go away. - They're going to stop the chemo. - Sometimes that is an important decision to be made when you see that treatment no longer has the benefit
that you want it to have to actually impeding on quality of life, therefore it's not worth extending the quantity of your
life, the amount of time you are around if the quality of life is so poor And unacceptable to the patient. So it's a very important
decision that needs to be made as a group, as a family a lot of times with the help
of a mental health specialist or even a hospital
palliative care specialist. - One of the first things
they ask you in the ER is to write your pain on
a scale from one to 10. - So originally the pain scale was created in order to make sense
of a subjective feeling and to make it more objective so we can qualify the pain, so we can see if the patient is improving. So that we can create a guide book of what we expect patients to
feel with certain conditions. - You don't get to choose if
you get hurt in this world but you do have a say in who hurts you and I like my choices. Okay, Hazel Grace. - Okay. - It's such a Romeo and Juliet story. - [Sam] Is it Romeo and Juliet? - They both die together. - [Sam] Well but they
like killed themselves. - But she's like laying kind
of like about she's gonna die she's giving in into the
cancer to be with him. - [Sam] I guess so. Maybe that's the ending. Maybe she dies right there. - Isn't that what is happening? - [Sam] That was never my read on it. - Wait, is that the
official end of the movie. - [Sam] Hm. - Yeah, I think that's
my official read of it, she was battling cancer
now she's like all right. - [Sam] Hot read. - Probably so wrong. - Here is an emotional video of me sharing my mom's journey I think
you will really enjoy. Click here to check that out. As always, stay happy and healthy. Check it out. (upbeat music)
Ugh. I'm sure this would be interesting but I can't stand Dr Mike after he went on a party/vacation with a ton of people mid-pandemic.
[removed]
yah the mom being there during EVERY doctor appointment always bothered me a lot.