- Injuries, accident, and illnesses from some of the biggest
YouTubers you watch. Let's get started, bee, woop. (graphic whooshing) - [Casey] Listen.
- I'm listening Casey, talk to me man.
(bones popping) That's a crunchy knee, my knee
sounds one-to-one the same. (bones popping)
Okay, maybe not that bad. (high-pitched beeping)
- This is the moment of truth. The radiology center's right
there and they're gonna like, they're gonna look inside my knee. - He went like this as if
they're gonna do an ultrasound which is unique 'cause
most people get an MRI, usually provides better imaging for the deeper ligaments within the knee. - I haven't been totally irresponsible, the minute I felt a pain, I went to a guy, a running specialist, he
taught me some stretches, I've been doing it.
- When he said a guy, I hope he means someone
medically certified, right? - You know, I shouldn't
even be able to run, I have no business running. I broke my leg about a decade
ago, I broke in 27 places. (film reel popping)
- 27 places. - 'Cause this right
here, this is all metal. - You know, our femurs actually have better
tensile strength than steel and concrete, it's kind of cool. - The doctor told me, Casey, you're never gonna be able to run again. (gun cocking and popping) But I was 26 years old then and there's no (censored) way I was gonna let that doctor tell me I was never gonna run again. (deep dramatic music) - I run. (laughs) (deep dramatic music continues) I'm pretty sure every
video that Casey has made when he was in his like peak
Casey era, he was running. - [Doctor] So listen,
I tested you briefly, but basically what I see
on the MRI is two things. - I do wish that he told the
doctor he was recording him. - [Doctor] You have
something called a Plica. It's a piece of tissue that
connects on your kneecap and it connects also to your IT band and it pulls your kneecap out of alignment and it causes cartilaginous
like wear and tear. Just to kind of fast forward, you can run and you could
even run now, I'm not worried. - So it's basic, this part of the knee that gets inflamed
sometimes through overuse, kind is a weird diagnosis, but it's basically a series
of overuse and inflammation that is very, very treatable. Popping, cracking is not always dangerous which is why I tell my patients that unless it's combined
with other symptoms in most cases, it's nothing to worry about and in that moment I squat down
and let them hear my knees, which are pain-free. A little basketball action, two on two. (basketball thudding)
Okay. (players gasping) Oh, I was
gonna say knee gave out, but then he cracked his head on the hoop. - Oh my god, oh my god,
oh my god, oh my god, that's bad, that's bad. - Remember the scalp bleeds a lot because there's a lot of vital
capillaries in this area. You could see it on the image. (exhales) (players gasping) Ooh. The superficial damage is not
what I would be worried about. Why I'd be worried is we wanna
make sure there's no fracture and we also want to make sure
there's no swelling inside or a concussion. - It really didn't hurt that bad, I just think 'cause
it's all the adrenaline. Like I wasn't in like serious pain and then I haven't had any
headaches since it happened. - Well, not being in
serious pain in the moment is not unusual. It's also really dangerous and why athletes wanna rush back in after they have a
concussive hit to the head. In fact, we even see behavior changes in athletes who experience a concussion. - The most painful part was probably they jabbed a needle into my skull. - The needles for lidocaine so
he doesn't feel the staples. - Which was painful and
then they stapled my skull, which was also painful. - In many instances, we say
don't even use the lidocaine, let's just do the staples.
'cause it probably will hurt less and less pokes too. - [Jeff] You guys ready? - [Guys] Ready.
- Let's go. - As everyone shows up to do the stunt in the middle of the lake. (guys screaming)
(Jeff laughing) - I feel like YouTube videos have gotten to the point where
it's how extreme can we be in order to maximize the
clickability of the video? And that could be good, but then it could also create a lot of problems. - [Jeff] I just jumped
out of a plane 20 times, what's the worst that could happen if I swing from a rope
over a one foot deep lake? (onlookers gasping) (onlookers gasping) - Oh my God, not only did he
make contact with the thing, but then he also fell
with his leg like that. There's actually a very common injury called the Lisfranc injury that happens when you
get tossed off a horse, but your leg is still
attached in the stirrup and that reminds me of that, I wonder if that's the injury that he had. - [Jeff] When I woke up in
the hospital, I was in shock. I was in a lot of pain. I tore some ligaments in my leg, I broke my foot, I broke my hip, I shattered my skull in nine places, Shattered my eye socket,
I almost lost my eye. - Yeah, getting hit in the orbit is a very problematic injury because there's a lot of tissue
behind those bones. There's the naso-ethmoid area, the lacrimal area where
your tears come from. The muscles that attach to that
area which make up your face and the muscles that control your orbital movements,
your eye movements, these are all attached to those bones and if there's enough
damage, those muscles can change so much so that your whole facial
appearance can change, its functionality can change, your ability to breathe
and cry can change. These are big things for a human's, not just development but
I guess quality of life. But wow, brutal injury, glad to see that he's up on
his feet and training now. Last I saw he was actually
training with Casey Neistat who we just saw earlier - [Andy] Bunch of friends
and I woke up super early one day to be overachievers and go to an interactive
programming workshop. We all get there and
things are going smoothly, I'm enjoying several delicious pastries at no expense to myself, but oh, starting to feel a little gurgly. My bowels were making a movement. - Bowels moving means like
you're gonna go to number two. Actual burbling inside your
stomach is called borborygmi and not a bowel movement, fun fact. - [Andy] Later, my roommate was talking to his then girlfriend and she was like, "Uh, that sounds a lot like appendicitis, you should take him to the hospital." - Well, I mean just being nauseous and having diarrhea does not
alone point to appendicitis. If you have pain on the
right lower quadrant and nausea, fever, vomiting, all these things that could be indicative. - [Andy] Hey Andy, we should, we should go to the hospital. (Andy shivering)
At the hospital, I'm asked a bunch of questions. Where does it hurt? How
long has it been hurting? When did this start? - These are really good questions. It's called O-P-Q-R-S-T and each one stands
for something specific. - [Andy] And then the doctor told me, I think you have appendicitis. We're gonna have to
move you to urgent care. - That's kind of backwards. Urgent care is not as urgent
as emergency room care. (laughs) Urgent care is
like the middle ground between primary care like in
an office setting where I work and an emergency room. But appendicitis is most definitely emergency room, not urgent care. - [Andy] In the hospital, they take me to the scanner room. They needed to look inside of my suite bod to assess the situation
and to see how dire it was. - We look in those situations to see if the appendix
is inflamed, enlarged, if it has ruptured, where is
the area that's being affected, and also we're trying to diagnose if it is in fact appendicitis. In many instances it's not appendicitis, it could be something in a related organ perhaps diverticulitis, which is an inflammation of the intestine through its pouching that exist over time. You have like little bouts that pouch out, that's called diverticulosis. And then from there you
can get an infection, diverticulitis. - [Andy] If they put
you under for surgery, you need to have your stomach empty otherwise it can be dangerous. Again, not sure why. - Well the reason why
is when you're sedated, you don't have access to your gag reflex, so that if you do vomit, you can aspirate whatever that you're vomiting
directly into your lungs and that's problematic,
that could cause infection, inflammation, lung failure,
very dangerous stuff. - [Andy] To pump the stomach you have to have a tube
push down your throat. It's a long piece of plastic that you have to continuously swallow down until it reaches your stomach and then they can turn it on and get all of this stuff
out of your stomach. - What he's describing
here is a nasogastric tube that goes through your nose
and goes into your stomach and we could put it on suction. What's interesting about these devices is that you don't want it to have it to be permanently on suction 'cause then it could
actually attach itself to the wall of the stomach and then cause damage to that wall. So you wanna do something you know as an intermittent
suction where it suctions, let's go, so it loosens off
the wall if it gets caught, and then it suctions
again and then let's go. Intermittent suction's usually
the safer way of doing it. - [Andy] And then I woke
up appendix (stutters) appendix-less, I was cured.
- Post appendectomy. (screen static buzzing) - Hello.
- Hi. - It's time for me to share
one of my most deepest, darkest, saddest stories
that I ever held inside and not told anyone in over 15 years. That's right. I broke my ass. - His tailbone, his coccyx,
or his ischial tuberosities. - The problem is I get really,
really, really motion sick or seasick and anyone that gets seasick, you know how awful it is. - Yeah, that's basically
an overactivation of those semicircular canals where if you have hyperactivation of it it can trigger you to feel nauseous. - So I bought this motion sickness tablets which is supposed to help with it. - A lot of these motion sickness tablets that people buy over the counter are usually antihistamine-based
and those are drowsy, they're sedating, they
do work rather quickly on the motion sickness component. - I was gonna sit down,
everything was fine. It was a beautiful sunny day. We were all drinking beer,
alcohol-free of course, I landed on a bench. - I'm somehow doubtful of that. But the problem with that is you're combining a
lot of sedatory effects. You have someone who is motion sick, so their
balance is already off. You have someone who's taking
antihistamine probably, which causes sedation. And then they're drinking alcohol, which is also a depressant. You have all three things
working against you there. - We have to go to the hospital. We did the scan to
confirm that, yes, indeed there was a crack in my ass. (laughs) - I wanna know what the
(censored) crack is. If this is a true coccyx fracture, which is a tailbone fracture. Coccydynia or pain of the
coccyx from a fracture does not really get treated surgically unless there's
a major dislocation or displacement, it's just rest, sitting on one of those donut
pillows, and pain control. And pain control for coccydynia
is really, really tricky. It's really painful, really uncomfortable. - So on Tuesday I told my sister that I thought I had a
blood clot in my arm. I was like, "Hmm, something is wrong." - Oh yeah, there's definitely
something happening, but it looks like there was
something worn on the right arm and there's definitely a
discoloration, there's swelling, yeah, there's definitely
something happening that's causing increased
pressure in that arm. - Woke up the next morning, was supposed to record
a podcast, decided that, hmm, we had a serious issue. The veins are starting
to break in my shoulder. This arm is so swollen I looked ripped. - That type of venous
swelling is telling us that there's some sort of
obstructive process happening that the veins can't be drained outward. Unlike arteries, which
are a little bit muscular, veins are thin walls, so they don't have the
ability to push the blood out. The way veins allow blood
to pass through them is by having little valves
that are one-way valves where when the heart
beats, the blood goes up, and then when the heart relaxes, the valve closes and prevents
the blood from back flowing. Now if there's a lot of pressure or there's not a lot of
room for the blood to travel because of a blockage, those valves start becoming incompetent because the veins with their
thin walls start to swell. And that's what likely was happening here, but now then we need to figure out and move up the chain of
the body to figure out where that obstruction is coming from. - [Justine] My sister races
me to the emergency room and there they do an ultrasound,
they find a blood clot. - So what we do is call
the duplex ultrasound. that allows us to see venous blood flow and we can act by giving
medications to thin clots to bus clots or perhaps
go in and remove the clot surgically or minimally invasively. Oh, they wrote deep vein thrombosis, that's a diagnosis that
needs to be acted on urgently because if that clot becomes dislodged it can get shot into the pulmonary system where it then creates
a pulmonary embolism. - [Justine] We're gonna
have to do a thrombectomy, which is where they take a catheter and shove it into your vein and
pump medicine into the clot. - That's what we were
talking about when I said minimally invasively. - We do that, we go in,
they put the catheter, and they decide that they're gonna do this drug called TPA to dissolve it. I didn't know what that
was, I was freaking out. - TPA stands for tissue
plasminogen activator. This is something we give in strokes. The risk factors to it is bleeding. Bleeding in the brain,
incredibly dangerous 'cause it's very hard to control. Bleeding in the arm, dangerous, but you can control that surgically. So definitely tricky substance to give and you want to give it just in the area where it needs to be. In the brain, you kind
of have to send it there. Here you can be a little bit
more accurate and deliver it directly to the spot where you need it. - [Justine] Here we are,
third time's a charm. We go back in and this thankfully worked. - [Friend] There she
is, clot free. (cheers) - [Justine] And with that being said- - Well my biggest question here is, why did the clot form? Because DVT's that are unprovoked deserve to be worked up because there are very specific reasons why we expect clots to form. Like if you're immobilized
for a long period of time and you're in bed and you're not moving, that could be a risk factor. If you took a really long plane ride, that could be expected. But if there's nothing that you did that should cause a clot, you should be investigating
why that is happening. - [Justine] That evening, after they said that the clot
was gone, it was dissolved, I started having chest
pains, shortness of breath, I started getting a little worried, and something did not feel right. I felt something like traveling. - The thing that you wanna really monitor in situations like this is EKG changes to see if that the heart starts
acting in any specific way. If you're seeing patterns
of pulmonary embolism, where the clot has traveled into the lungs and then also to see if the
heart is struggling in any way by drawing serial troponins,
which are cardiac enzymes. These are byproducts that are released by the cardiac muscle of
the heart when it is damaged and that usually happens when the heart's not
getting enough blood flow, usually due to a blockage. - Your girl's been
unhooked from the heparin which means I now have to take pill form, but hey, I had a pulmonary embolism, which means a piece of the blood clot broke off and went to my lungs. - Yeah, that can happen as
a result of the thrombectomy as we said earlier. You are on medication
for a period of time. Once the workup returns for reasons why you would be at risk for
developing another blood clot and that's all negative, then after a period of time you can come off the
blood thinning medication. If there is a reason why
you are high risk for clots you may have to stay on that medication. - [Justine] I have something called thoracic outlet syndrome,
it comes in three kind of variations where there isn't enough space
between your rib and the vein, the nerve, or the
artery to kind of pass through. - The area that she's talking
about in thoracic outlet is between the clavicle, the first rib, and most importantly the muscles called the scalenes of the neck, specifically the anterior and
middle scalene of the neck. What you have there is a little triangle where the brachial plexus travels through, which is the nerves that
travel out to your arm and give sensation and
muscle control to your arm, as well as the subclavian artery and vein. So what she has is very rare, but it sounds like there's
compression happening of that subclavian vein, therefore you have more likely a chance for a clot to form in that area. Amazing that she was able to
share all that, survive it, give a really good medical explanation. Wow, shout out iJustine. Incredible sea survival
stories, click here, animated, narrated, really interesting. Click here to check that out and as always, stay happy and healthy. (bright electronic music)
