A Patient Filed A Complaint! | Wednesday Checkup | Doctor Mike
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- Опубликовано: 6 сен 2024
- For this week's Wednesday Checkup, I wanted to share a story with you about how a patient encounter did not go as planned in my office. I thought I did everything right but the outcome was not what I expected.
In life, there are many times when we have good intentions where the outcomes are bad. During those times we need to evaluate why that happened so that we can avoid repeating the same mistake over again.
If you have an idea of something you want me to cover in depth, please let me know because I take your requests seriously. We will be back with more Medical Drama Review Series this Sunday so please submit more names of shows/episodes you'd like for me to watch. Love you all!
- Doctor Mike Varshavski
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Dude I would love a doctor who makes the effort to sit down and explain to me what’s going rather than just a brief visit, it shows that they care!
Seriously! This!!
Exactly I would be happy if someone explains to me what is going on, instead of just hurrying through.
Agreed. I've had so many doctors basically go, "hey what are you here for? Okay, here you are - have a good one," and that being the extent of my visit. Barely spend 5minutes in the room together.
I know someone who had an extremely bad abdominal pain and went to more than 8 doctors. 7 said she was fine but the 8th decided to book an appointment with a specialist. She needed an operation so she had one and now feels better.
I spent 4 visits to my rheumatologist, going back and forth with a bunch of medical examinations with him not even discussing the results to me (even after asking about it over and over). Our consultations would not even reach 5 minutes. I hated it.
I always feel so uneasy when I see a doctor and they are short and brief with me. It makes me feel as if I'm not important and that they don't care. If you had done that for me I would have really appreciated it and I'm sure the majority of people would as well!
I’m switching doctors for this very reason!
The people who have appointments after me when I go to my neuro, they hate me. It always goes over 15 minutes.
They dont want to be short with you, its just hard because a lot of people need to see the doctor and its stressful for them to handle every need pts have. you have to realize that if they go over time with you, then they delay patient care for everyone down the line. Then people complain about waiting forever to see the doctor. Its a lose lose a lot of the time
For sure. Mostly when they go fast I feel like a burden, but then I have to remember the stress and pressure their under with the US healthcare system and that they have so many patients to get through. I really do try to understand, so usually I just ask what I need to ask, and my kid's doctor has always been amazing, even with as little time as she has.
Depends where you are. Primary care physicians can probably give more time to you, but at the ER it can be a busy hour.
"Sometimes good intentions have bad outcomes". I agree 100%.
They mostly do
Laith
Lol...now isn't that the truth😅
The road to a malpractice suit is sometimes paved with good intentions. That's not to say that incompetence doesn't have their own paving company. ;)
if you think you deserve credit solely for good intentions, you will have a bad life.
@@HikaruKatayamma Ha. I quite like that phrase. It's very true.
My doctor is a lot like you. She doesn't believe in putting a bandaid on the problem but we work together to find out what the true issue is. She takes time with all her patients and looks to figure out the underlying cause. I just love her, she is the only doctor that has ever taken the time to get to the bottom of the problem and not just give me a drug to cover up the issue.
I think she differs from Dr. Mike (in this anecdote) because your doctor looks into figuring out underlying issues
@@wessltov How is Dr. Mike different? He did a history and a full body exam. Everything was negative and he concluded that it's probably due to work stress, so he advised the patient to get physical therapy and check with him the next week. You're either confused or just a hater.
@@YRO.I’m not a hater at all. I love Dr. Mike. But in this case I do think he should have ordered the mri to rule out possible developing problems and THEN started physical therapy and the other things mentioned.
@@oldageisdumb He literally told the patient that if they wanted an MRI he'd order it for them. He was just recommending physical therapy first for two reasons, to save money, and to avoid potential false positives.
i think any doctor should have the interrest to see what causes the issue if the doc is just bandaiding the symptoms then id say he is in the wrong profession... aint needing a doc to just treat the symptoms... i know my typical sick so well that i dont need a doc... like get me some ASS (Acetylsalicylsäure/
acetylsalicylic acid) and Mucobene(med that enables to cough up the slime) and im good... also a doctor just treating the symptoms could/will cause more harm cause he would see it as treated and it might be that the underlying cause gets worse and worse... a doctor should only treat the symptoms when its chronic or untreatable cause... (check up for changes regularly)
I think getting complaints are unavoidable when working with the public, everyone has different levels of expectation from their healthcare provider/public services.
I completely agree. I like that Dr. Mike took the situation as a learning experience and got something beneficial out of it.
Science with Katie You’ve got yourself a new sub! :)
A Stethoscope that doesnt feels like fresh out the freezer and im pretty happy.
How much to fly you out for a 48 hour fuck fest
@@sweatysack4761 what a disgusting comment
If he was so understanding at the end of the visit, it could also be he came home and told the info to a partner/familie. Who in turn reacted that way, and told him to file a complaint.
I thought that too.
That was my first thought
I thought this too.
Working in healthcare, I can almost guarantee that is the case. Families are always upsetting patients over things that have no basis in reality.
@@StratospheralNurse Well, aren't you kind of proving them right by automatically having that mentality?
He's acting like you offered him essential oils
LMAO
😂
omaL sdrawkcab
Guy is probably unsatisfied with his job, and wanted to find somenthing in MRI, so it would give him a reason to quit his job. Hi needs psychiatrist more than physician.
Lauren E I gave you the 1k like :))
The sad thing about being a 'good doctor' is that not everyone is going to like you. People expect the Healthcare system to be like a grocery store- pick and choose what treatments they want, whether if they're actually good or not.
The important thing though, is that you never lose how professional, respectful, and compassionate you are, even in the face of people being stupid.
With the amount they charge it should be
It's my body if I want an MRI I should be able to get what I'm asking for. It sounds like dude has been to many MD's and for some reasoning he's not getting the results of why he is in pain, so he asked for an MRI. I'm sure if he would have explained this to him and went on a head and have him the referral for the MRI and everything turned out negative on the findings he would have went back to him and tried it his way with physical therapy. In his mind I'm hiking and I am physical and while I'm doing this I'm not in pain so what is physical therapy going to do that I'm not already doing. Give me what I asked for an MRI... Point blank
@@ShortiWatta82 you didn't watch the whole video did you. Or did you miss the part where Dr Mike said he'd write him a script for the MRI if he still wanted one.
@@ShortiWatta82 MRIs never turn up "negative" though. That was why he said not to do it, MRIs are like a giant rabbit hole if you don't know what you're looking for (like this patient) and you'll just find a butload of other stuff that doesn't need attention, but now you're aware of it and will probably just spend a lot of money claiming you need this or that when you don't. Dr. Mike was trying to save this guy money and ease of mind but he wouldn't listen. Patients like this come in with one thing on their mind and if they don't get what they want, you become a "bad" doctor, its honestly sad.
@@clarevidler6715 you didn't read my full comment did you
According to me , all of your steps clearly showed that you are a fully qualified doctor, think of your patients and suggesting them the better way to resolve their problems , we are proud of you man 💯
I agree!! To be honest, only thing I'd have added would be a referral to PODIATRIST in addition to physio & osteo? 😋 Lower back pain after long standing or long walking really often arises from imbalances of strength between various balance-maintaining muscle groups in your back, legs and hips, which in turn affects posture. Orthotics can help readjust things amazingly & the team will generally teach you some good strength-building & stretching exercises too...
God loves you. Jesus is the way, the truth, and the life. No one comes to the Father but by Him.✝️🙏✝️ We can't go to Hraven unless we have a relationship with Jesus. And we are born again, and saved and read the book of Revelation, your name will be written in the book of life.✝️🙏✝️ The scriptures of the Bible are true. Almost every scholar can agree that from the information that we have, Jesus was dead, and risen from His tomb. Watch what the Infographics Show has to say about this. And William Lane Craig as well. For more on God's existence, watch Ray Comfort and Kent Hovind on RUclips. I really do hope that these sources and this message that God has sent me to share with you all had really helped. Jesus loves you! Amen! THERE WILL BE A DAY OF JUDGEMENT! Are you sure that you would make it to Heaven? If not, you can find that blessed Assurance in Jesus' name today. There IS power in the name!✝️🙏✝️
“according to me” lol
Yea toadly
Definitely!
You're such a good doctor. If we had doctors like this locally it would be amazing
Locally? I think you mean nationally 😸
@@kalabell4098 that would mean just a few doctors this good per country. Locally would mean a few close to everyone
There is
ikr? I wish there were doctors in the area I live in like that
i suggest you read back the ridiculous comment you just made, possibly THE shallowest comment i have read on youtube
I think I'd file a complaint, too:
"The doctor only spent an hour and a half with me instead of _the whole week_ I really want to spend with him"
And he didn't call me back after our first date.. I mean appointment
i mean who wouldn’t want to spend as much time as possible w/ doctor mike
"I asked for a fully body physical and he said that wasn't in his practice"
HalcyonSerenade ...on a beach. In Aruba.
@@hasher22 🤣🤣
I love how Doctor Mike didn't complain about the patient nor shrugged this off as being ridiculous. He took the complaint to heart and learned something. Absolutely love that!
Imagine finding your doctor talking about you in his RUclips channel
Strike 2.
He said specifically he's changed details about the patient. For all you know it could be a middle aged woman not a man in his mid 20s as this wasn't a gender specific case.
If that was the case, it would mean you're a asswipe.
i dont see what's the big whoop. It's not like he talked shit about anyone. He was clear concise, talked about his personal and consequential feelings after being complained about and merely talked about different people having different needs. Theres literally zero negativity in this video towards the patient, no matter who it is.
@@sempergumby2341 I guarantee you still live at your mom's
He is so sad he didn't even do the beee whoop intro :'(
:((
Oh nooooooo that’s a new level of sad
Beee whoop baaadd ddayy
I know a lot of Doctors and no lie , they take it super hard. They take praise and criticism with much more sensitivity than any other profession I've ever seen.
I forgive him
As a disabled veteran, I truly wish I was your patient. I suffer from low back pain as well, and I've never had a diagnosis such as yours. I had no idea that resting could do more harm to my pain than being active. I've never had an in-depth analysis of the actual cause of pain as what you have explained in depth in this video. The VA hospitals could benefit from doctors as passionate as you are. I hope your patience understand how lucky they are.
*patient
@@Bax-ui2ln Seriously?
I feel you, I gave up on the VA and go to a regular hospital which have been the only ones to actually find and diagnose me 😪
@@michaelgoldstein8516 Just ignore them.
@@callumwoolsey4446 fr
The fact that you made this video shows how much this situation effected you and how you are willing to learn a lesson from it. I’m an RN and have worked with many different doctors, but you’re a gem! So genuine, really truly care about your patients, and always evolving as a doctor. Thank you for the videos and keep doing EXACTLY what you’re doing 😊
Affected
if Doctor. Mike was a doctor I was seeing I would be screaming of joy inside!
@@averylappin9953 xD, ik my English is terrible
Jupìter's ßubble so would I. Do you know what that means? Do ya want me to translate it? It’s ok if ya want me to
@@violetm3022 xD why not go ahead i don't mind
Nvm Jupiter fixed it
Jupìter's ßubble what pis your language?
I would file a complaint too for Dr. Mike being too fabulous
Lol
@EclipseTheVampireNeko Dalton
- Amazing username.
Co-signed!
rafalpanwojny same
rafalpanwojny well said well said
Dr. Mike was:
- Too adorable?
- Too genuinely concerned?
- Too smart?
Yeah, report him!
Ikr!
Mike sus
@@gjk-arts5855 "Mike was not the impostor. 2 impostors remain"
@@goodcompany759 lmao
@@goodcompany759 and also patient was not the imposter just a dumb crewmate
I honestly love how respectful and professional you keep your work because it’s not easy to do that. This experience reminds me of a very similar occasion that happened to me with a classmate of mine in school. He is also Russian and a very nice, respectful and smart student. But because of a miss understanding we don’t longer talk to each other. Even though my intentions where good the outcome was bad and I know that it wasn’t what I said or how I behaved. Because I went over and over, even the people who know me and heard the whole story were curious. Because they did not find anything wrong on what I said to the person or how I acted. But I try not to take it to personal and I decided to let it go.
Patient files a complaint about my tattoo (not that it wasn't covered, because I shouldn't have one) and then one
complaining that my male colleague had facial hair. 😑
I had a patient once complain about my facial hair too lol only they said it to my face =P
Um? No matter if you shave that morning, you won’t have a completely clear face from hair.
I had a patient tell me that I should wear makeup 😂😂 and then followed it up with “well I hope you at least moisturize”
I had a pt complain that i was sitting down lol
I have no patient complaints because I'm not a Doctor.
I’ve basically had this exact situation with a doctor-went in for an MRI for lower back pain, then the doctor recommended physical therapy and addressing stressors instead. 3 months of PT and stress management later I was doing so much better!
I had the same, 3 months later I was in the same pain with more bills and no relief.
Spouse has random pains usually related to tendons, legs, and neck. Biggest help is figuring out what causes it (mattress, sleeping position, pillows, etc) and combo of resting it to heal and stretches, and usually ice not heat cuz has inflammation. We like yoga. Stretching/yoga can be such a benefit. Always sees improvement.
Are you the one who complaint dr mike?
Who knew story time with doctors was so interesting.
IKR
Yea lol
Really? Doctors have a ton of interesting interaction every week
LonelySoul I 100% agree my mom is a doctor and she meets Karen’s every day entertainment every day about her encounter lol
He only needs an animation now
The fact you even try bonding with your patients is something I would appreciate so much. My doctors all just listen to what I say, say what they think and I go. The appointments usually always last six minutes max, and my issues are hardly addressed, just side tracked.
You are a doctor with a heart of a social worker, keep it up ;) ( i know this vid is 2 year old lol)
ya still got hearted
Wow still liking comments on a two year old video!? Dr. Mike is awesome!
Alexandria Lisa yesss he’s amazing
A lot of medicine is still interacting with people (unless radiology?) and treating them as human beings
@@JohnThePA Even radiologists see patients though.
Sounded like you done the best you could
No way you just liked my comment
Don’t tell me it’s because of my profile pic 😂
Unfortunately he sounded like one of those corrupt doctors. Give the man an MRI. Won't that help with his mental problems
Patrick !?! Is that you ??
Anonymously_Sp Art im basically saying it sounded like he did his best
@@SF-li9kh your comment makes absolutely no sense
Some people are never happy, whatever you do. It sounds like you did the right thing.
Yeah.
As someone who has a lot of random pains and a lot of stressors in my life, it took me REALLY LONG time to realize the connection between the two. I went to many different doctors (>5, mostly due to school/moving) for the same symptoms over years, and each of them gave me different diagnosis, different treatments (or no treatments) and none of them mentioned my mental health could be a reason, and none of the "treatment" works. I definitely understand the patient in this video to a certain extend. Sometimes it's just so frustrating that you don't get an effective treatment, and not even moving to a right direction.
Sometimes humanity makes me sad. I love when my doctor spends extra time with me. I think you did a great Job, Dr. Mike.
Extra time is good. Sometimes the insurance companies gives a thumbs down on the extra time which seems unfair. I love the stay healthy and stay happy.
If he offered so much time why did he emphasize the patients mentality as the cause of his pain, as in a neurological symptom. Why couldn't a prolonged vertical pressure, caused by standing all day or walking for 9 miles induce N-type calcium channels to become hyper-activated leading to induction to the synaptic nerve stimulation, which subsequently cause pain.
+Ashley xo me too ^_^ it's nice!!!
@@KeilaRemon2006 your insurance doesn't cover you seeing the doctor if they think the doctor took too long? This is the first time I'm hearing of this... I mean... who can judge how much time somebody needs to see a doctor other than the doctor giving their time? This would assume the doctor wants to spend more time with a patient than is necessary, and I've never met such a doctor in my entire life lol.
GUYS! Check out my new music/dancing video! Click on the link if you're into hip/hop and pop culture! ruclips.net/video/KxAyGDB5HUk/видео.html
Oh Doctor Mike, I was an office nurse,for almost 40 years with the last 22 years with the same physician. He also is an Osteopath. The way that you approached your new patient was exactly as my doctor would have done. To just order it without knowing history or at the very least why he felt he needed it would have not been proper care. Also his insurance may not have approved the test and then there is a whole other issue because as you know, it's always our fault when something like that happens! Lol. Please don't take his disapproval to heart as he may have just been a grumpy Gus anyway or his previous doc may have just given him exactly what he wanted, when he wanted it. 💞Wisconsin
Betty Schon YES ❤️ I agree
Awww you're so sweet. You're absolutely right though. He's got the right guns, he best stick to them😉😊
@Betty Schon he keeps saying false positives in tests? I am more about going mis(un)diagnosed from false negatives in labs... And now he is saying doctors worry about false positives? Sounds like they don't trust any tests and I remember the good ol' days when you we're sent home WITH your x-rays, MRI CDs and whatnot??? Remember those days? I wish I had this now because ascites is causing me extreme pain in combination with celluitus but I can't get a hospital to order the right tests, my abdomen is distended on the right side so bad it is engulfing my upper thigh and causing a celluitus from the chaffing my at home doctor said, I was recommended to have aggressive diuretics which I can't do from home because I need someone to monitor multiple urinals for when they get full, next step being parastenecis (sic), but our area hospitals get so flooded with flu patients everyone is a liar, I need life saving IV antibiotics I have had vancomycin before.
I'm a little scared of this guy though cause he is so perfect, articulately and procedurallly, all he is talking about by the way is stuff to be more and more by the book, why by the book? Maybe worried about an audit or losing his license too much, then it isn't a wonder why does anyone practice medicine knowing the plausible legal troubles involved.
Cory Sanders hi Cory, it does sound like you have multiple issues and for that I'm so sorry. I agree that sometimes it seems " back in the good old days were better and way easier. But having seen firsthand the advances in medicine, well I need to disagree. True sometimes it was very handy to be sent home with your test results. But now most physicians are on or have access to a common portal that allows them to look at your tests if you give their permission .
Also Dr Mike is young. So of course he's going to talk" by the book" as his expertise limited. Not to say that he won't go to the ends of the earth to find out all what he can about his patients issues. As time goes on he will gain his experience and confidence, and be able to talk about some issues or see that there could be other or better ways to handle them.
You mentioned maybe the Dr was afraid of losing his license, well since malpractice is a large part of their budget, and so many people are constantly wanting to sue for everything, I would think that that should be a major concern.
I would find a physician that you trust all of the way! It's so important there has to be someone who can help you.
The Mayo Clinic is so reputable! And there are several in the eastern US as well. Good luck my friend and God Bless!🎄💞Wisconsin
Sounds like a frequent scam artist.
There is nothing wrong with you doc
You are professional
You are educated
You are helping
You are trying to benefit people not harm them
And unfortunately...
Sometimes people don't understand it.
Manipulative people can't understand pure good and try to mirror to others their manipulativeness when things don't work out as should.
@@4dotaonly true
@@4dotaonly You can't conclude that he's manipulative from this video. On pure facts, the guy didn't get what he needed from the appointment and just a delay where he'd end up having to do PT and do another visit. This on the surface can seem like a bait/switch issue. This doctor seems very sincere, but the guy won't know that in 20-30minutes time. The doc did nothing wrong and the patient should have just taken him up on the offer for PT and the MRI if so important.
Or people just have different communication styles 🤦
It's not "one is right one is wrong". I feel like I'm the only person who realizes that people communicate differently.
You guys are here harassing the patient instead of just agreeing that he has his own opinion that we don’t need to harass him for 🤷♀️
As a chronic pain patient, I had heard the it's all in your head thing to many times. One Dr,,,full waiting room ,,came out,,,called my name,,,as I stood up loudly said "it's because you are TO FAT!!" he turned around and left. I was stunned. I did file a formal complaint. Saw another Dr who explained things out on why the pain. If we treated it with therapy etc. I'd feel better the weight would come off. I'm now 100 lbs lighter. I walk much easier the pain us barely there most of the time. That nice 2nd Dr taught me,,well PT to stretch out the pain. Thankfully I didn't Dr #1 discourage me. I'd of easily listened to Dr Mike. He was explaining it right. Sadly the patient,,,likely at the end of not being heard, just couldn't handle the info. I understand. Gr8 job Dr Mike.
Doctor: **suggests physical therapy**
Patient: That's too spiritual
@Cotton Candy Thank you!!
Hahahaha
I wouldn't be surprised if he was suggested that before and that's why he filed a complaint. I've had back pain for years and when I would get the courage to go see the doctor they would say: "ah it's in your head relax" or "do physical therapy". I had tried it all without any success many times before. Turns out I just had severe anxiety. When I got in meds, the back pain almost disappeared. Many doctors believe because you are 'functional' then it means your ailment is not very serious. I was somewhat functional except I was having panic attacks and dull chronic back pain that would affect my productivity really bad. It's bullcrap that you have to wait for your life to be in shambles to get help. Sorry but I am with the patient on this one though I understand Dr.Mike's intention.
@@TheUniquePOTe I didn't expect a joke to go in this direction.. but, oh well
The patient's back pain was more intense when they were doing physical activity and especially after standing all day. So there is definitely an issue that physical therapy could very well help solve.
Secondly, the patient said that there were many stresses in their life. Taking this into account, Dr. Mike did suggest them some material to help understand how their mental state can affect their physical well-being. The mental issues were not being ignored here.
The patient also did not say that they had already tried Physical Therapy earlier (like you suggested might have happened). That would have been important information in determining the next step of treatment. Always be open with your doctor.
Dr. Mike also said that if the patient did not like this way of treatment, he would happily write them a prescription for an MRI, whether they wanted it in that visit, or the next. Even a referral to a specialist had been offered. The patient wasn't being "denied" the MRI they wanted, they were just being suggested an alternative that the doctor (a professional) thought would be best, considering their current situation.
The patient themselves ended the visit by saying that they understand what Dr. Mike was saying and they themselves would like to try Physical Therapy. They clearly did not seem to have any issues with it.
You know what that patient did next week? Write in a complaint about the doctor being "unhelpful" and "overly spiritual". That is absolutely wrong.
I do not agree with you at all on this and I am with Dr. Mike in this one. If the patient had tried these methods of treatment earlier without any success, it's their responsibility to tell the doctor that they have already tried it and failed in getting better. Doctor Mike also helped them understand the mental aspect of this, so the problem that you had with anxiety causing your back pain (and it going undetected), could have been avoided here.
@@aasthasingh8996 I have been in the patient's spot were I felt manipulated or was plain gaslighted into believing the pain I had was not valid or debilitating enough to warrant a referral or closer look. In my case it was mental,but in his... I have no clue. It was serious enough that he wanted to have a consultation.
During a doctor's visit you barely have time for anything like Dr.Mike said and if you feel uncomfortable, then you forget to mention some details and it's up to the doctor to make them feel OK and ask questions. We can't say for sure if Dr.Mike has omitted this detail on purpose or the patient didn't tell him. We'll never know.
But yeah, post-consultation after all the info was simmering for a while the patient probably felt like his pain was not validated which led him to file the complaint... idk it's just a hypothesis 😋 Also in the US doctor consultation cost a lot of money as I have understood? Having several consultations was maybe not an option? (your original comment was funny btw 😆)
It’s a shame that mental health is considered “too spiritual”
It's both hilarious and saddening
My parents just refused to let me go see a therapist even though pretty clearly in retrospect (and even at the time) I was going through a bout of depression that lasted like 13 years
Instead of that, their solution was just to yell at me to do things and then yell more when I didn't
Oatmeal I’m glad you’re able to look back in retrospect and know how to care for yourself now
@@OatmealTheCrazy my mom wanted to take my brother to therapy and my dad told her that he’s not crazy, only crazy people go see therapists. And that she’s crazy because she goes to therapy 🙄. He is so stuck in the dark ages I can’t. (They’re separated btw)
@@jennr8642 ah, yes, a literal Catch-22
Jesus
Its also a shame that it doesn't take seriously. I've been in it for so long and the reactions I get from people are ridiculous. I usually get that's not a real science or that was a waste of time to study that long. But in fact, if mental health was taken more seriously we would be in a better place. It's sad that people act like this. Hope all is well!
To have a patient file a complaint that is actually quite rude and still be able to talk about them respectfully is an amazing ability! Thanks Dr.mike!
I disagree. That patient left the room feeling like this doctor was setting his very real concern and physical problem to the side, and being dismissive of the anxiety he had for his condition. If i feel that way, i wouldn't have a problem saying something most of the time, but there have been times I've been straight up appalled by the visit, and the way my words were clearly not heard. A patient SHOULD stand up for themselves by expressing their experience to the doctor or making a complaint if that is uncomfortable or panic-inducing. absolutely. The doctor did with it what he should, used it as a learning tool. It really hits you to hear you impacted someone so drastically different than intended, but that doesn't mean someone is wrong for drawing attention to it. Good for him that he brought it to us to talk about the whole thing.
I won't say rude because it's with the patient right to do so.
Would it be rude to complain when nurse stands over and say ur exaggerating pain in a demeaning way and not even treat excessive vomiting that caused dehydration and potassium insufficiency? I wasnt there for pain meds was just trying to tell her my back hurt and i needed to move to chair because bed was bothering me. In her defense it was before I had insurance before mri showed scoliosis, 2 herniated discs, bulging disc, and wedge fracture that caused 10 percent loss of height but I still dont feel its right ppl need to be able to report that..I dont agree that doctor mike should have been reported but those steps need to be in place for those power tripping ppl that assume they know everything
Clearly you don't see this was HIS WAY at getting back at the complaint made against him. #arrogance is not a trait of a Doctor.
I don't think it was rude of the patient to file a complaint and neither the doctor nor the patient are in the wrong here. I think it was just a misunderstanding because they had misaligning personalities. The good thing is that the doctor now knows what the issue was and he can work to improve in that aspect, if he had never gotten the complaint he never would have known :)
If you were conversing with a patient and they act like they agree and understand, even if they don't, there is not much you can do. If people are not honest with their reactions to you and what you are saying, there's not much you can do. You have to take your patients at face value and believe them,it is their responsibility to be honest with their doctor. JMHO.
Stop slandering the patient. He literally asked you not to.
@bottle3124 saying that a doctor is not supposed to be psychic if the patient is misrepresnting their agreement or understanding is not slandering the patient. Slander is only slander when it's untrue. There is only so much a doctor can do in certain situations. They're doctors, not gods.
@@bottle3124not everyone is gonna listen to him, some people just have genuine opinions about the story and have a full right to say what they think, yes he said not to slander the patient but there's an unlikely chance they won't listen
I was about to say this. Mike gave the patient his honest opinion but also offered to order the MRI right then and there. The patient agreed and then only called back later to complain. The patient has no ground to stand on, as far as I can tell.
Doctor: the more you rest or lay in bed the more harm you can do to your lower back..
Me laying in bed bc of lower back pain: well hot damn.......
Guuuurl Same lmaooo
Same. Dammit.
Same
My thoughts exactly 😂
Alicia Cimino SAME
I’m a physical therapist in my final affiliation and have this conversation about back pain and MRIs every day with patients. Unfortunately, some patients have a very fixed mindset about what they expect to hear and I’ve had similar situations occur. Finessing education for each patient is definitely a learning process but it certainly makes each day interesting!
I've been working as a physical therapist for 4 years now and my experinces are the same. I fail to see how you could have done a better job than you did.
This is the thing in Scotland, the NHS back pain pathway that states physiotherapy is the front line treatment. So I injured my back and ended up at my doctor. For the acute phase of the pain I got some good painkillers, and referred immediately to physio. Only if the physio team decide that they can not help, of is six months of treatment has not made significant strides in dealing with it will you then be referred to the back pain unit at the hospital and get an MRI done etc. You don’t really have a choice in the matter, you don’t need it you’re not getting it here. But I was seen by physio within 48 hours, they helped me with some really simple things I could do to loosen my back up and help it heal, then for 6 months I had weekly supervised gym sessions. The physio worked out my core strength was weak, and that it was going to prevent by back from healing, and trying to do my job with it like that was going to put stress on other areas of my back and likely make it worse. It took six months of hard work but I’ve been off medication for another six months. Some days I get the odd ache where I damaged my back but physio was absolutely the right treatment, even at the time if I was deeply unconvinced. My doctor was right. I was wrong.
I don't understand the approach of some patients - I go to a doctor specifically because they are a specialist (or general practitioner) in their field and I am not. My job as a patient is to relay the symptoms of my malady to the doctor in an effective, brief and coherent way, it's not to go to the doctor with a diagnosis - that's the doctor's job! People who think they know better than a trained professional simply because they can use Google boggle my mind.
This exactly! Its tough to be PT, ik x)
Sadly, my father is one of those people. He has had chronic back pain which is now combined with leg pain. He wants a doctor to fix him, which is not likely to happen. He refuses to develop a routine of diet and exercise that he knows can help, as he starts doing things to help, then goes back to old habits and the pain returns in force. He just wants surgery to resolve the issue, but has been told mutliple times that it's not a possibility, due to the nature of his problems ,and the fact that he is on blood thinners for previous heart surgery. He (and I) have carbohydrate triggered inflammation issues. I was diagnosed a couple years ago with RA (in my late 30s). Unrelated to that, for the sake of science, I tried out this new 'keto' diet thing I had been hearing about (it was before it was wildly popular) and low and behold, I dropped about 40 of the 80lbs of extra weight I carry, and my RA symptoms stopped entirely. I felt like I was 20 again instead of 70 like I had been feeling. I brought this to my father's attention, but he refuses to change habits. Unfortunately, it seems, with some people, no amount of leading to water can make a horse drink.
I work in a hospital. What Dr. Mike is not telling us is that he suspected that the patient was angling for workers comp and/or disability. A normal patient doesn't make an appointment and tell the doctor what to do. That's why the patient didn't want the Doc to go into his history of exercise and hiking. The patient wanted a different doctor because he knew he'd screwed up with Doctor Mike by telling him things that could be used to deny the claim.
Exactly!
My mom is a workers compensation claim adjuster and that’s the first thing I thought at the beginning of this too!!!
I feel like it's the same from when people go in for oxycodone or pills they want the doctor to just write the prescription n be done
Yup. My first thought was malingering!
Bill Merryman you are right on target.
You are a genuinely sweet and empathetic doctor. Having Crohn’s, I would love to have you, or someone just as amazing help get me through the processes. I truly admire the way you care for your patients, and now this is a lesson learned and something you can add to make you an even better Dr! There’s always room to grow. Thank you for your love of us and your practice. It’s you and people like you that give me the inspiration to one day take care of people too! ❤️
Ugh yeppp if I had a GI that cared this much when I was going through the diagnosis process for Crohns, things would have been wayyyy cooler.
I can’t believe there’s 2 more people with Crohn’s here! Hope you guys are in remission, or at least doing well!
Another crohns patient here. 33 years of age and I’ve had it since it was 9. Sucks doesn’t it? 😢
i love how instead of ranting about the patient’s complaint (like some would do) you took his complaint as a learning opportunity by understanding the different perspectives that one may have towards the way medical advice was given
I don't understand the complaint though, when was mike "Spiritual"
God loves you. Jesus is the way, the truth, and the life. No one comes to the Father but by Him.✝️🙏✝️ We can't go to Hraven unless we have a relationship with Jesus. And we are born again, and saved and read the book of Revelation, your name will be written in the book of life.✝️🙏✝️ The scriptures of the Bible are true. Almost every scholar can agree that from the information that we have, Jesus was dead, and risen from His tomb. Watch what the Infographics Show has to say about this. And William Lane Craig as well. For more on God's existence, watch Ray Comfort and Kent Hovind on RUclips. I really do hope that these sources and this message that God has sent me to share with you all had really helped. Jesus loves you! Amen! THERE WILL BE A DAY OF JUDGEMENT! Are you sure that you would make it to Heaven? If not, you can find that blessed Assurance in Jesus' name today. There IS power in the name!✝️🙏✝️
✝️Jesus cares about you and your eternity more than you or I could ever know.✝️ He is the way, the truth, and the life. No one comes to the Father but by Him.✝️🙏✝️
@@tedtod4489 What?
@@tedtod4489 ... what?
4:35 "whut moy thuwats ahhr" lmao he let that Brooklyn accent slip REAL hard 😂
Not kidding
4:36
@@user-nq2jq2sn2v 4:37
That doesn’t include “what” in it
Hello Hello Hello Hello 4:36.5
My take: The minute you mentioned stress, the patient felt you were attributing his symptoms to a psych disorder. He felt invalidated.
THANK YOU, I THINK THAT SHOULD NEVER BE MENTIONED OR EVEN HINTED TO
But stress really truly can hurt you physically. It kills you. Given that he can hike 8 miles without pain but is in more pain after work, it only makes sense to think perhaps it's related to stress. If the patient felt invalidated by that after Dr.Mike evaluated him physically as well, that's being a bit sensitive.
@@maddielovescix9252 you know that drs say things that are physically done in routine and repetition can make the body not respond in a painful manner, does that make sense? I can give example if you need me to
He probably felt like you weren’t taking him seriously. I know that feeling. It’s awful, and I haven’t been to another doctor since.
@@lmmccray3333 Dunno what you were going for there but it seems like routine/sameness reduces stress.
I would love to have a doctor like you, every interaction I had in my life has been horrible. One time I almost had a panic attack before getting to my appointment with my endocrinologist, a doctor told me I was faking my pain and got mad about it when I was genuinely having problems to walk...😬
I HATE gaslighting doctors. They should get their licenses revoked
“Some of the worst things in history were done with the best intentions” ~Allan Grant JP3
which is a rewording of a T.S. Eliot quote haha
Hitler can rip now
@@polly4531 ouch, too soon
How did my joke quote comment turn into a discussion about nazi’s???
Alan Grant but yeh nice ☺
4:36 his new york accent came out alllottt right there lol you could tell he from Brooklyn ahaa xx
Skye_is_da_ limit he’s not though. He lives there but not from there.
@Skye_is_da_ limit oh ur the girl that found the talko interesting. hi.
@@bangtan_sarah5168 hi 😂
bangtan_sarah sorry this is off topic but I'm guessing you're an army? (Fan of BTS?)
@@kamrynsarah4882 yup
In my opinion, you did the right thing. You gave this guy as much advice and resources as you could, so don’t let this situation be a negative thing. You did the best you could as a doctor and you should be proud of that. Even though it had a bad outcome, you could always learn from it and it can better prepare you in the future with similar situations. I love your channel Dr. Mike! you continue to inspire me with every video:)
He should've just gave him the mri. If the guy wants to spend the money let him. Why not do both the mri and physical therapy etc. Yes mri doesn't prove everything everytime but it's still useful. Nonetheless he did what he thought was best.
@@theOneThatWas Well he did specifically say the main reason he didn't want him to get an MRI is because you can find things on the MRI that don't actually link back to what's causing the pain.
@Thy 72eaper because the mri would be a waste of time and money, and if the patient had the knowledge like Dr. Mike does, i think he’d agree with him and have a better understanding of why it’s unnecessary in his case.
@Thy 72eaper no hate btw, that’s just the way i see it
@@sweeeenay That's why I said it doesn't prove everything everytime.
I love to have a doctor like you. Most of the doctors i've met just told me straight to the points. You have good communication skills, that makes you different than the most doctors.
I keep coming back to your channel because of the way you approach problem-solving and patient education. You are reflective, cautious, and diligent in trying to convey truth to the best of your ability. (And also uber-pleasant and intelligent). There is always something to learn from bad feedback, and I like how you consulted with senior doctors to sort it out.
got a new GP in town, EVERYONE hates him. I went there myself, one of the nicest Doctors i ever had.
Then why the hate ? because he doesn't just do what they expect of him and orders the medizine by default, but wanted to see the, for him new, patients first to find out if they even need it or if he can find a different solution than the GP before him... how dare he take his job and his patients serious ? XD
Yeah
Awwww I feel so bad for your new GP!
Wish I'd had a gp like that
Also wish I could like your comment, but alas
It's at 69 right now
And I dont wanna disturb that
/Sofie/ you can now
/Sofie/ I’ve never been to a GP cause my dad is a doctor. Most patients like him but one man started yelling at him because the man googled his condition, so he thought he knew but my dad told him that it wasn’t the case, so the guy almost tried to deck my dad but then he had to leave. Then another time there was this lady that started trying to flirt with my dad when my mum was outside the room! She was telling him how good he looked in that shirt and that he must workout loads to have those sort of muscles 😂
He probably didn't know that stress can actually cause physical pain and just thought the whole stress thing was weird voodoo stuff
It is! just look at all the shooting caused by "Voodooio" games (such as red dead 2). it's some scary stuff. Mtv and their music voodooie's. it all causes more violence.
To be fair my doctor did tell me this- put me on antidepressants to cure my stress. The pain didn't go away, I warned that anti depressants have really bad side effects in my family and that the pain I was experiencing was hereditary and the way other doctors have helped and that it had gone away with totally difference medicine. But no I go on these anti depressants and within two weeks I had had three panic attacks, could barely leave the house, paranoid. I felt insane. When I called my doctor with symptoms they upped my dose. I was predicted A s for my gcses I failed. Yeah. Took me a while to get off of those and now I'm going to a specialist who thinks what I have is shockingly not to do with stress like any other of my family members...
It’s true, I was raised in a very emotionally suppressive culture where you can mentally power through anything, and mental health is not a thing at all. To my parents, the concept of mental pain causing physical pain may as well be witch doctor stuff and they automatically write it off as garbage.
Brooke Mcleod yes, stress isn’t ALWAYS the case. It’s just worth looking into because it’s not uncommon. Those doctors never should have immediately jumped to the conclusion that your pain was stress related, I’m so sorry you had to go through all that. If they thought it was stress related they should have evaluated you more thoroughly and talked to you (and actually listened to you), so that they could rule out that possibility. They shouldn’t have jumped to stress as the ultimate answer. But I do think it was worth at least bringing up, since it’s pretty common to have stress related pain, and if it was stress-related, then they would be able to actually address the pain. In your case it wasn’t, but in some cases it is. So it’s always worth looking into to make sure you have all the information. Ya know?
@@Hanapetals It still surprises me that some people think you can just mentally power through everything and that mental health problems don't exist...
As a chronic pain patient with multiple medical conditions, I can see both people's side.
I have gone to many doctors that make you jump through a MILLION hoops while treating symptoms without finding out what the cause is. It is maddening!!! I spent all this time repeatedly going back to doctors that could have found out the problem the first time I went to them. And, repeatedly paying for multiple specialists multiple times (ex. Pain Specialists, Chiropractors, Physical Therapists that I didn't need to see and arranging transportation, travelling long distances, fighting to get insurance approval, making the time to go, taking pain medications, getting injections, paying for medical equipment) while getting worse or just maintaining... which aggravate the patient who is already in pain! The Doctor FINALLY does a diagnostic test that I should have gotten the first time I went to them, and I end up needing surgery to treat the problem and all that pain and suffering while doing all those things treating the symptoms was WASTED until AFTER the thing causing it was finally addressed! Then, I could do all the things needed to recover and prevent it from happening again instead of perpetually dealing with the pain.
WOW!! I am sorry that you went through all that unnecessary garbage!! I hope you are doing well these days :)
@@jordanphilipperris imagine having 9 subs
@@Bap_eq I don't have to imagine it, I'm livin' the dream😎
@@Bap_eq imagine being a horse girl
@@Am0ha Yeah this horse girl could knock you out
One thing I learn't working in hospitality was that people will always find something to complain about or be disappointed about no matter how professional, how far you go above and beyond, and how much you genuinely care.
Humans complain. Mostly women but men too. It's what we (as humans) do. Its kinda funny how none of us are perfect (far from it) and yet we never fail to find fault, especially with others.
I’m still gonna complain about the shitty hospital food. That shits nasty.
100% agree. I couldn't take it any more. It felt like no matter what I did to make my patients happy, comfortable, improve their mental outlook, provide them with an empathetic ear/shoulder, provide them with well researched information they would still find something to complain about at some point. It gets to the point where some people (an unfortunate amount) get burned out on trying to give that empathetic care. (In my experience men were the worst, just saying. They'd assume that as a woman and as "just a nurse" I didn't really know what I was talking about, so they would ignore my care and information until they became more critical and spoke with a doctor, who would then more often than not tell them the exact same thing I'd told them weeks prior)
Adriana Terrill hmmm.... how abt some good food in the hospital cos they are sometimes overpriced and are very expensive why hospital food cant even make jam and bread good
Learnt
Spiritual? What the... It's not like you told him to go pray the pay away, you told him to get physiotherapy for his back to heal.
I actually did have a pain specialist tell me to meditate and pray the pain away, no sarcasm at all. That was his genuine medical opinion.
@@MARISALA-SS well, actually it works, there are a looot of studies about the benefits of meditation, and praying works because it's almost the same in a neurological level.
@@matiaslangon6799 Oh sure, there are heaps of studies linking the benefits of mindfulness with lessened pain. Doctors are happy to sprout that claim all day long. Personally, I have never spoken to a pain patient who has claimed that meditation has brought their pain level down, as has been my experience. Mindfullness can be useful to sit with pain, but claiming it will make pain go away, so far seems to be bullshit.
@@MARISALA-SS of course, it sound crazy to think it will make the pain just go away. Meditating must be some kind of placebo for some people, making them think they feel better.
@@MARISALA-SSMeditation probably could help some people of which their pain is caused by extreme stress. However, if there's a physical cause, not a psychological cause, that's a different matter entirely.
I think you did a perfect job hun.
Patient just wasn’t on the same wave length. Which is unfortunate for him.
Why is a model giving advice to a doctor.....
@@jackskatter.3888 Why can't they
@@jackskatter.3888 hater.
Thank you. Someone who isn't just like, "Dr. Mike is perfect. The patient is mean, manipulative, wrong, dumb, and horrible. We love you Dr. Mike" and instead recognizes that, hey, everyone communicates differently and unfortunately in this situation the message wasn't delivered correctly for this person. Dr. Mike did a good job, but I also see where the patient is coming from. Unfortunately there just wasn't a good communication dynamic.
Had to ruin it sorry
I have heard about this many times. As soon as the doctor says that physical pain is from stress or implies it's from mental illness all trust is lost in the doctor. Unfortunately too many doctors write off pain claiming the patient has too much stress or it's because of "mental pain manifesting as physical pain". It's also unfortunate that as soon as a doctor writes that in the chart, most other doctors will not take the patient seriously.
That can also be said of weight. If you are overweight (not even obese.. chubby) doctors don’t take you seriously.
It's called medical gaslighting and it happens a lot more often than people think. If you are a woman with a history of anxiety or depression good luck. I never should have disclosed it.
I was thinking this was most likeley where communication broke down, once the pain was insinuated to be mental health related in any way the patient feels defensive as its common to be dismissed as it being "all in your head" even if this doctor isn't actually saying that. I'm guilty of it myself because I've been dismissed so much for being a young mentally ill 10:26 woman with severe undiagnosed chronic pain that a previous dr chose to treat with pain killers. Many drs read that history and just see 'addict' despite me never actually having had any issues with addiction.
It's a big problem on both sides.
mental illness is just as serioud as a physical injury, or perhaps even more serious. all your pain is processed and felt by ur brain, so i wouldnt be surprised that back pain was induced by stress (all in the brain). he also came to this conclusion due to the patient showing more pain in highly stressful situations, so its a logical deduction. sometimes doctors make mistakes though, but its not good to take mental health lightly
As a med student, they told us about situations like these where the patient would want YOU as a doctor to comply with them because they think you work for them and not with them.
I back you Dr. Mike
As a paid professional, doctors do in fact work for their patients--their customers in fact. I expect the context of this lesson you learned in med school had to do with how to deal with unreasonable patients that try to force you to prescribe meds without warrant. Requesting an MRI is totally different. I'd expect they taught you the difference in med school, but it sounds like you might have missed what they told you about that.
@@NealBrenard The context of the lesson was to establish that both the doctor and patient are involved in treatment, hence working with each other.
The fact that patients are the clients (who pay a for a service) is not lost on me. I'm not from America, so I don't really know what your poor is. But for my country ( with the highest unemployment rate and poverty everywhere) , here are many doctors who would exploit their patients Medical Aid and claim everything, leaving the patient's funds depleted causing them to pay additional fees with money they do not have. Some doctors do not care how their patients are going to pay their debt.
Neal Brenard it is taught tho drugs and test, both. If they are unnecessary doctors aren’t supposed to be handing mri’s out like candy. It can take a mental toll on patients. Also idk where u are from (I’m from Canada) that you think doctors work for patients. They work WITH them. They help guide u and ur options as much as they can that’s their job, not to order whatever the patient wants. It’s actually REALLY common that doctors won’t do procedures even low risk and non invasive just because a patient asks for it, most surgeons will straight up refuse unless the GP or whatever doctor they are seeing advises it. Can patients bring something up and ask for it? Hell yeah, but just because they ask for it doesn’t mean they are entitled it. But that’s why you get second opinions which you are entitled to. However if multiple doctors are telling a patient no then 🤷🏻♀️.
@Mebrat L. Abraha why's that?
This is interesting difference between the UK and US. We will ask for second opinions if we don't agree but we don't assume we're paying the doctor to do what we want them to, we listen to their opinion more.
"He wanted to do a MRI regarding his back"
Me: straightens back immediately
Same
Yup, definitely
I did it too
I slouched further.
Me: *does streches*
Stopped midway to THANK YOU THANK YOU for being a well researched, well versed physician. I’m a physical therapist and I sometimes feel a disconnect with the things I educate to my patients versus what they are told by their PCP or orthopedic. I feel like I’m constantly portraying this same, exact information about the misleading results of an MRI in relation to clinical presentation. If there are questionable findings during an evaluation, an MRI would certainly be warranted to rule out neuromuscular impairments, but patients believe this to be the end all, save all when they’re in pain. I understand their frustration with their symptoms, but this isn’t the key to healing. Thank you for supporting this and being a great physician. You have a new fan!
stephencarlsbad he didn't out him, did you watch the begging of the video? Yes anybody involved in the situation is going to know about the situation because THERE INVOLVED IN THE SITUATION.
You sound like you 13 years old, you don't know what your talking about, all you do is hate, and you can't read(the psychologist thing) THE GUY WAS NOT A PSYCHOLOGIST HE WAS A THERAPIST.
I know nothing these days are researched
I would be like, "You need to fire him because he's WAY too good.
@@stephencarlsbad He isn't exposing anyones information he is aware of HIPPA thank you.
Micah A. That’s offensive to 13 year olds
The world needs more doctors like you, Dr. Mike.
The patient was miracle seeking - they didn’t care what you had to say because they already had an idea in their mind of what they thought should happen. Personally, I love it when doctors explain things in detail to me.
Dr Mike you are a doctor in the real sense. Keep inspiring us.
God loves you. Jesus is the way, the truth, and the life. No one comes to the Father but by Him.✝️🙏✝️ We can't go to Hraven unless we have a relationship with Jesus. And we are born again, and saved and read the book of Revelation, your name will be written in the book of life.✝️🙏✝️ The scriptures of the Bible are true. Almost every scholar can agree that from the information that we have, Jesus was dead, and risen from His tomb. Watch what the Infographics Show has to say about this. And William Lane Craig as well. For more on God's existence, watch Ray Comfort and Kent Hovind on RUclips. I really do hope that these sources and this message that God has sent me to share with you all had really helped. Jesus loves you! Amen! THERE WILL BE A DAY OF JUDGEMENT! Are you sure that you would make it to Heaven? If not, you can find that blessed Assurance in Jesus' name today. There IS power in the name!✝️🙏✝️
Please, continue to treat your patients the way you treated him--history, approrpriate tests, recommendation for treatment. I would love for a doctor to spend time with me rather than just buttoning up. I want to know my doctor is doing a good job and treating me like an intelligent person who can understand their reasoning.
I know this was from yrs ago but it’s great that u were willing to spend more time than originally planned to begin with- I often hear “that’s a lot of symptoms so what do you want to deal with today” but at the same time hear from other doctors “you have to give them all the information so they can make the best diagnosis” and even at an ophthalmologist visit when describing multiple symptoms - all with my eyes- was told that it was “like 7 different issues so what do you want to deal with today” but as I told the dr “they are all symptoms with my 1 set of eyes so to me that’s 1 issue.” Patients don’t have the education doctors have so they shouldn’t be made to feel like we have to decide which symptoms are the most important or these symptoms seem related to each other- that’s y we go to see a doctor.
And it was nice to see that you actually took the time to consider how ur approach didn’t work with that patient & were willing to try again. There are many doctors who aren’t willing to re-visit an issue even with patient concerns. And maybe the most helpful thing was that you suggested he come back for a follow up in a week- not 3 or 6 months. I had an endocrinologist tell me he didn’t think the tests he ordered (after he refused to order the bloodwork I had previously that lead to my orig diagnosis) would find anything and he would call me if something came up but otherwise he didn’t need to see me again.
He basically was saying he didn’t believe my symptoms & even if they were actually happening he wasn’t willing to take the time to do more diagnostic work to figure out what is causing them.
While stress can certainly cause some physical symptoms- many physical medical issues can have physically induced anxiety as a symptom- from the medical reading I have done it’s very common for people prior to having heart attacks to feel as though “something bad is going to happen” or for people to know “something isn’t right” with their bodies even though the general basic tests show as “normal” prior to a medical emergency. It’s too bad that so many patients are forced to wait till they have a life threatening emergency to actually get the medical attention they need & a real diagnosis.
Funny how the brain/body works. A while after I finished chemo I developed breathing difficulties. Couldn't get a satisfying breath, literally kept me up at night and was a very real, distressing issue. I eventually saw the doctor for a regular post chemo check up. He told me there's nothing wrong with my lungs and importantly no sign of a cancer reoccurance and after I woke up the following day I was right as rain. It was just stress about the cancer! Blew my freaking mind. I didn't even FEEL particularly worried about reoccurrance. Anyway, that's my tiny story.
congrats on being cancer free :)
Congrats on being cancer free!! And you’re right, it amaze me how stress or worry can makes us sick! The mind is a powerful thing!
The human mind can be tricky. One must be able to control their thoughts. Don’t let the thoughts control you.
I had the very same. An unsatisfying breath is a good way to describe it. Like I was always gasping. Turned out is was a panic disorder, like a panic attack, except chronic, going on for hours. Once I defeated the stressor, the breathlessness went away.
John Doe Stress can cause so many problems! Congratulations on being cancer free. :-)
As a med student, I really felt inspired by your mentality! You weren’t offended/annoyed that someone complained about you, rather you took it as a learning experience and remained non-judgemental which is sooo important for a doctor!! Really well thought through and the fact that you went to an advisor to ask how you can improve instead of blaming the patient is great! Keep up the fab work :))
You taking the time to listen and explain and give options just means you care. You're doing your job and you should be proud. Keep doing you! 👊👊👊
WARNING! I have 2 (!!!) dangerously HOT girlfriends and I show them off on my channel! Thanks for being jealous, dear dude OTEE
He's just making excuses why he's such a failure. He should have chosen a different profession, a janitor for example
Александр Мотузов Considering he made it through medical school and is a practicing physician, I’d say he’s doing pretty ok 🤷🏾♀️
@@pumbo_nv Terrible trolling 😂
@@dickieOiRed_07 no, you're terrible
The symptoms he described were nearly identical to what I developed in my early 30s. I was blown off by different doctors for years. Finally, I had imaging done. Multiple areas of DDD with disc narrowing were found. Physical therapy helped somewhat, but I’m not 45 and can’t stand even 10 minutes without pain.
I beat up my body in the military, especially running. But I also spent nearly 2 decades in retail. Regardless of how well decorated, the floors of stores are concrete. I had gotten to where I had to slowly limp to each break that I had. At no other time was it that bad except when I worked.
Was I under more stress there? Omg yes. I live with PTSD and that was a bad industry to work in. But I was also standing on concrete for hours at a time.
@@willnicholson18 As someone that his worked standing on concrete for almost all the jobs that I have had, there is not one concrete floor that is good for your back, legs or feet. I do not care how much over weight you are or that you are skinny as a bean pole, concrete floors are a killer for the lower half of your body. However; that being said I would have tried to do what Dr. Mike was telling me because I would have known that he was listening to me and wanted to help me. It is a team effort between the both of us and you as the patient have to be willing to give the Doctor a chance but you also have to be your own advocate. I would have given the PT at least two weeks to see if there was any relief and maybe start doing some destressing exercises. If that is not helping then go back and tell him that it's not working and see if we can come up with another game plan.
"I'm going to change his name and details to not hurt anybody's feelings."
Translation: Let me change stuff so we don't violate HIPAA
..changing to 'her' doesnt help either 😅
This isn’t a bad thing, though.
@@svenjastrohmeier7753 he didn't say her at 5:55 he says " I gave a recommendation of some reading material."
Well he never used a name anyway, and they can discuss cases in detail including all relevant history without violating HIPAA as long as they don't give names or identifying information of the patient. He was changing some of the details so as not to upset people.
There's no need for a translation, I mean it's obvious. Did you feel you were breaking some news that people didn't know? 🤔 This is a common and nessecary thing for patients confidentiality.
I can't believe there are people who file a complaint about a doctor actually caring for them.
If I had a Doc this attentive and nice it would have spared me going through pneumonia for two weeks without medication because my no-time-for-you-Doc told me 'You're just feeling bad because you're overweight'
So guys stop complaining and start appreciating a Doctor who actually takes his time and cares for you
There are two plausible reasons he could have done it, though. Firstly, he might have told a family member or friend what happened, and they told him to file a complaint, seeing him as someone who didn’t get help for the patient, or second, he was simply frustrated at not getting immediate help. I’m like that. For example, I will sometimes get upset when I don’t get immediate results for my actions
@@me0wfish905 Well thats on you not the doctor?
@@toonballoon6244 right but I think @Me0wFish is owning up to it in their comment, not criticising the doctor.
Patient has their voice and allow to flie a complaint. That way the doctor and hospital can be better.
And you don't have the right to stop complain, you're not in their shoe, you may never understand the frustration they may gone through before visit the doctor.6:57
Your name sounds more like Mike wazowski to me 🤪
* *
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May D'velra because he has mike in the name?
lewis parke because of his long last name
@@lewisparke7631 varshafski idk how to spell it
@@maplemation1564 it's up in that first bit under the video that you can expand. Although "Mike Wazowski" is a great pop culture reference.
I know you had the best intentions, Dr Mike, but why not give the patient the MRI? It took me over ten years to get diagnosed with endometriosis because no doctor would ask for an ultrasound because for them I was too young for such an illness and my heavy flow was normal! I knew I had it and eventually the diagnosis came, as well as the need for surgery, but it could've come earlier.
Can you please make a video on how you shouldn’t be nervous when going to see a doctor...
(Edit) I love how a lot of people are agreeing with me
YES!
that's Dakota yeah, good idea👍🏼
Just don’t be nervous. That will be $50.
What advice can he give reasons on how to not be nervous? I can see how he could do reasons why you shouldn't be nervous but that's different
yes please. my mom now has a problem with her blood pressure when she see a doctor. crazy but true
Came here for the looks, stayed for the personality, valuable life advice and the educational health content.
I want some one to suck me real hard
@@bnnnnnnnnnnn what the hell dude😂
@@bnnnnnnnnnnn tf 😂
Shallow princess
Feta Princess pokhara phewatal song
Atleast you had the guts to share it. And you didn’t even try to humiliate that guy. That’s nice of you. Quite ethical if I may add
I don’t get what the patient meant by spiritual-
I think this also comes from patients who don't usually go see a family doctor, but instead have been going to clinics or ER as needed for major issues. The first time I saw a family doctor, I was surprised I wasn't just given pills and told to get out.
Spiritual? Psychosomatic pain is a real thing. I have chronic pain, and when my mental state is very bad I actually feel the pain more. If I had you as a doctor, I would be so happy. So many times I don't feel heard, and I've had chronic pain for 5 years.
Completely different situation, but I have chronic pain and when I get annoyed or a bad mood, I get quite bad pain.
I have a herniated disk which causes me pain and on my high depression days it hurts more because I'm not moving as much.
I'm a lisnce massage therapist and one the first things I learned in schooling is that any emotional/mental pain will always show itself in some type physical form.
Omgyellow did you do something about it? I really hope you did!
I'm the same, just that I don't feel the pain that same day. Usually it takes about a day or two before the pain seems to kick in. It's really annoying tbh
"At certain times with certain personalities it makes sense to be more brief". I agree completely on this
Me too but you don't know a personality type without spending time with someone. That's the really tricky part though something that I deal with about 10 times a day as a psychiatrist.
@@DoctorElliottCarthy True too. But I think that objectivity and briefness (is that a word?) is, at least in my own experience, a good way to approach things with someone you don't know or have just met for the first time. Sometimes even after spending some time with someone, you still can't know who they really are. I've experienced this with my own psychiatrist - we were both strangers to each other and even after some time talking, I still couldn't let him know me. But like you said it's really tricky, and it depends on the patient's willingness to open up as well as it depends on the doctor's desire to accept the openness. But again this is just from what I've experienced. My psych and I have been strangers to each other for the past 7 months and I'm gonna reconnect with him next week, and I hope that I can still feel open with him even after all this time. Thanks for your reply :-)
@@rachelrachel4922 best of luck with seeing you psychiatrist again. Building up trust and rapport with things that are so personal is just as important as the medical advice itself. Everyone's different and like you said, some people are easier to figure out than others and be able to cater your approach in a more personal way. To be honest those differences between us as humans is one of the things that made me want to be a psychiatrist.
@@DoctorElliottCarthy Thank you! Your input means a lot to me. I wanted to be a psychiatrist when I was much younger, but I'm riddled with so much anxiety that I don't think I can help people with their own. Maybe one day when I'm better I can help people like you do.
@@rachelrachel4922 you don't need to be a psychiatrist to help people. There's bucket loads of ways. You absolutely need to focus on you first tho. Well done and all the best for the rest of your journey and recovery.
Do a video on what diseases are close to being curable
Wow a doctor who asks intelligent questions to ascertain the problem. I would love to have a doctor like you. You are a rare one!
What I'm hearing is, "the Dr. Didn't give me what I wanted so I'm mad."
Doctors who were afraid to tell my sister what she didn't want to hear and instead just wrote out the prescriptions she wanted almost killed her because she was Dr shopping to get drug relief for constant migraines.
Same with my sister. She finally switched to my doctor from hers (who had prescribed different pain meds including vicodin and fentanyl as well as ambien). Her new doctor told her that her life was being shortened significantly. She went through a horrible withdrawal. Thank God she is now clean. She is also a completely different person for the better. I wonder how her life would have been different had her old doctor just said NO.
You doctor shop if your a drug addict not for migraines ? So don’t blame doctors for your sister being a junkie
I wouldn't have put it passed the patient to want an MRI so he could use that as a reason to get some time off work.
No she almost killed herself
If she was having constant migraines (and not drug withdrawal) then there should be some kind of medical test that would document that & she should see a neurologist if they are that debilitating not just a primary care doctor who might not have the specialized knowledge regarding pain relief for migraines.
It’s really sad that someone would complain that you spent time with them. I have a genetic thing, (no pain, no requests for drugs) and docs spent 90 seconds with me and asked where to make out the doctor excuse slip... (self employed, don’t need those). It wasn’t until a very excellent doctor listened, diagnosed me, still no drugs, just a few lifestyle changes. Changed my life. Please don’t be disheartened by one complaint.
im so happy that you didn't have to use drugs to feel better and I'm glad to see a good doctor story. its sad that some of them do just do what we ask because its easier. we need more like dr mike!
This. My mom got the runaround for 3 months from docs who either had no idea wtf to do, or just straight up downplayed the situation despite the obvious mass that was causing the problem. Finally was referred to an amazing doc who took his time with his patients and had her diagnosed and in surgery within two visits. He refused to see too many patients because he wanted to spend adequate time with them and not rush. Such an amazing doc. We need more of them tbh
you literally sounded so genuine and concerned with your consultation. some people just cant recognize how lucky they are to have a doctor that cares so much about providing much more then a medical service.
This one is certainly a tough case... It's particularly challenging not knowing what previous surgery was performed.
... Given that part of the history, i totally see how the patient might assume (maybe correctly!) that the pain is from a physical ailment that needs direct diagnosis and treatment.
I remember it was incredibly difficult getting a referral for my first mri; i was 16 at the time so most doctors assumed it was temporary growing pains, when if fact i already had two herniated discs from repetitive sports injuries. However, once i had the first diagnosis it became much easier to talk directly afterwards with future doctors.
Also as someone with what on the surface seems like a stressful job/ lifestyle, it can feel quite dismissive when doctors attribute health problems to that perceived stress, when in fact I do not regularly experience chronic stress and am more interested in improving other parts of my health and wellbeing
hope ur feeling better
Always an interesting video. Different point of view than we are used to seeing.
Oh snap, let me warm up my pasta
@@victorialigad Shoulda came an got this diq guh
👏👏👏👏👏👏👏👏👏🍝
I heat up some lasagna before watching this 😂
I wish I had some pasta right now:(
Hajira S. Get that fettachini
Interesting, I would never think that extra attention could have a negative result. It just crossed my mind that as a doctor you can’t just set boundaries with strangers, you prefer to be of help to anyone. That sounds stressful in itself. It’s good to see that you knew not to shame yourself for not being that particular persons version of perfect.
Even mike itself said it in one video ¨Being to good or caring of a doctor will make you an idealist¨ thus bringing some heat or patients feeling weird,
Not my case, cause i`d love to see a doctor like mike
I see how some could see that the extra explanations could come off as negative as the patient feels like they’re being lectured or steered to think something different than what they expected to hear.
I think some people just think more time it takes for doctor the less skilled he is...in my experience someone who is mentally convinced he needs something needs to be dealt with more careful...his point was right he should not have tried to sell his opinion. He should just explain the situation and give the patient the options. Sometimes an MRI can save a lot of stress and pain, everyone will not agree with this but I think doing the MRI would have been ok If his view doesn't seem to change even after putting pros and cons on the table
kj king slayer yeah true but in the end Dr. Mike did say it was an option still for the patient to get the MRI but just after he tried out the physical therapy and gave it some time and thought it over which for the patient probably rubbed him the wrong way since he was expecting a referral to go get an MRI that day so that’s probably where his issue was
So sad when Dr.s try to help & get screwed over.People who sue make me sick!
This video of you telling us the story of the visit is longer then any visit my doctor has literally ever had with me. I wish I could find a doctor who would sit and listen to my concerns
I wanna be a doctor like you, you are such an inspiration to me. Next year I will graduate med school.
Did you graduate med school?
Good luck! Hope you do well in life!
Wish you all the very best 💝
God loves you. Jesus is the way, the truth, and the life. No one comes to the Father but by Him.✝️🙏✝️ We can't go to Hraven unless we have a relationship with Jesus. And we are born again, and saved and read the book of Revelation, your name will be written in the book of life.✝️🙏✝️ The scriptures of the Bible are true. Almost every scholar can agree that from the information that we have, Jesus was dead, and risen from His tomb. Watch what the Infographics Show has to say about this. And William Lane Craig as well. For more on God's existence, watch Ray Comfort and Kent Hovind on RUclips. I really do hope that these sources and this message that God has sent me to share with you all had really helped. Jesus loves you! Amen! THERE WILL BE A DAY OF JUDGEMENT! Are you sure that you would make it to Heaven? If not, you can find that blessed Assurance in Jesus' name today. There IS power in the name!✝️🙏✝️
Good luck!
No matter how good you are at your job, there will be people annoyed by you, your work style, your suggestions, etc.
Tbh I didnt even know he was famous 😅 All I wanted was some information about being a doctor and end up in this channel 😁👏💕
Sure, Jan.
Actually I didnt know he was either until after i got into his channel. A video of his was recommended so i clicked on it and became a fan of his.
Same here! Now I am a subscriber!
Same here
I don’t plan to have anything to do with biology in my career, yet I’m here. You’re amazing, Dr Mike! Lol
I’ve met people like that too. Many years ago I was literally told by someone “nobody is that nice”.
Unfortunately, a lot of times certain people will think you’re trying to scam them or manipulate them by being nice to them. I genuinely feel sorry for them because they must have lived in environments where people are just mean to them. I’m always left wondering what they had gone through in life that led them to believe people cannot be nice for no reason. Have they never met anyone whose genuinely kind? It’s just so very sad.
I love how you heard about someone filing a small complaint about a doctor that is good and your conclusion was that his parents abused and he wasn’t raised good instead of just saying that he just didn’t like mike /:
@@bottle3124Is that what you concluded from his comment? Your comprehension skills are in the negatives.
Yea I've met people like that as well. They seem to have only grown up around social toxicity and that's all they know. The concept of kindness is foreign to them. It's really depressing.
We need people like you in this world Dr. Mike!! It made me really happy when you said that you're always trying to learn and improve to be the best doctor you can be. You really care about your patients
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I swear I need a doctor like this to be my family doctor.
Finally!! Something that deserves to be on trending.. something that we can learn and take something out of it.. and not someone that does something stupid and get famous for it then everyone starts to copy that person🤨
StarB600 Star EXACTLY. In the toxic cesspool that is the modern RUclips community, it's great for someone like Doctor Mike to get attention.
StarB600 Star “not someone that does something idiot”. Yeah, you don’t get to judge stupidity.
@@seltzerwater7933 sure a normal human can 🙂
StarB600 Star You’re not normal. You don’t even know how to spell idiotic, blowing your entire argument away.
@@seltzerwater7933 what argument?? I did not come here to argue with idiots like YOU!! if you want to argue go somewhere else and let me express whatever I want.. none of your business!
Pluse, English is the 3rd from 4 languages that I speak, I appreciate your concern about my spelling, but that doesn't mean that I am not normal lol.... so, BYE.
Physical therapy is always first before MRI when it comes to the back. At least in my experience. I have appreciated doctors for taking this type of care and time for my well being. Kudos!
"Dr. Mike was very unprofessional. He was too good looking and made my blood pressure and heart rate sky rocket" 😂🤣
You mean the REAL McDreamy?
PiggyAzalea And how did that make you feel?
I have the same issue with him 😂
If he had boots, he'd be dr sexy from supernatural
We need more doctors like you instead of drug pushers
He's a DO. If that patient saw an MD they'd be pushing drugs for sure. That's why
Agreed!!
As a Physiotherapist, I was nodding my head, completely understanding your position and how the story was going to unfold from almost the beginning. You were completely in the right, and dealing with these situations can be *very* challenging.
It's such a common thing and unfortunately, there are still a lot of myths out there, most predominantly pertaining to idiopathic LPB, which tbh, i'd rather call it LPB from factors like the ones you described and others, such as stress, anxiety, poor-sleep, sedentarism (manual labour/job doesn't always mean you're not sedentary)...
MY (LONG) ADIVCE FOR PEOPLE:
If you're having persistent LPB (>3-6 months) without a major traumatic mechanism, chances are, the pain originated from those factors and perhaps persisting because of those factors are still there and sometimes even overthinking the pain and believing a structural problem (degenerative findings) are a cause, which, like you said, are most often NOT a cause, at least for persistent pain.
How do you fix that?
In Physical Therapy (at least I) I try to make the patient the most active as possible, both physically and as part of the solution. That's what' the data's been showing us. More movement, less MRIs and X-rays (reasons you already explained and are 100% true) and less surgeries, unless there's an actual serious structural problem (tumor, fracture, spinal cord injury, etc).
We can use manual therapy to temporarily desensitize the area or modulate the pain in order to reduce it and making you more confident in moving and able to workout better.
Then we try to workout more, build mobility, strength, always in a gradual manner, while building confidence, thereby increasing the tolerance that you system has for actual physical stress and believing you can move without as much pain, also decreasing anxiety and stress, and decreasing pain even more! If anyone's dealing with 'idiopathic LPB', a gradual increase in movement (mobility training, strength training, aerobic tr., etc) supervised by someone you can instill trust and help increase your *OWN* ability to manage your pain, will be the best course of action.
PS: don't forget, *long hours of occupational physical activity is not the same as a good workout or being "physically active"* , because you tend to "work" for much longer periods of time and at a lower intensity, which might even increase resting heart-rate, BP, and propensity for LBP. It doesn't carry the same benefits of exercise. There's no quick fix for that: either change occupation or be more physically active, with actual structured exercise!
PPS: sorry for the rant y'all, i'm just too passionate about this.
I don't think it is idiopathic in this case. I think it is clearly a result of working 14 hours a day and hiking 8 miles and intensive stretching.
I've never heard of somebody doing all of that pain free.
Get outta here with your spiritual nonsense and get me a real doctor. /s
Oh yes, change occupation, because occupational fluidity is so easy in the U.S. If you told me that as a patient I'd give you major side-eyes.
@@snowleperdsrule that's why he said of do structured exercise. duh. would you prefer to only have one option or a multiple that you would never consider if you didn't hear them. You never know, it may not be for you but someone else could find another job. Don't be ignorant and read and think before being overly negative.
@@snowleperdsrule like I said, change occupation, or be more physically active, even if it's just moderate exercise x2 a week :) i've worked in very humble and hard-working areas with hard working people in which changing jobs is not an option. As a physio, regular exercise is obviously my first choice!
But you do have to change something. Most people aren't opened to that commitement and giving those two options might be an eye opener.
If your back in consistently complaining in such a context, something's gotta change.
It's not easy to accept it, but you need to change something. If you end up 40 lbs oveweight, you gotta eat less, exercise more or both. But something has to give. Same thing here!
I never said changing jobs was the only way, but I get your point.
It's great to see a doctor that has book smarts along with emotional intelligence. It says a lot that you're focused on always improving and learning about your patients.