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