- Anonymous, why the thumbnail?
Are you trying to make me fail
No Nut (laughs) November?
(laughs loudly)
(upbeat electronic music)
Hey guys, welcome to another episode
of Responding to Your Comments.
Why wait?
Let's just get started, bee-woop!
I think I know what No Nut November is.
Now are you doing that for a cause?
'Cause then I'll support you.
But if you're just doing No Nut November
to prove something to yourself, that's cool.
Hope you're not in a relationship
'cause that's gonna be rough.
I will say, doing a simple task
that you can stick to, for example,
like brushing your teeth with the opposite hand
than you're used to, proving it
to yourself that you can be strict
and disciplined and stick to it,
can actually translate to other areas
of your life, and then you'll start seeing
your ability to be disciplined
in going to the gym, in following a diet.
Maybe No Nut November is exactly what the doctor ordered.
I know that sounded weird.
I'm a triplet.
Have you ever delivered multiples?
Any stories?
Courtney, I've never delivered triplets.
I've never even delivered twins.
Although my sister has twins.
They're my nephews and I play with them all the time.
Does wearing glasses make your eyesight worse?
No, Gabrielle, that's like a common myth
that you hear from people.
I think the misconception started off
when someone uses eyeglasses, or let's say
not using eyeglasses, and they think their vision's fine.
They put on eyeglasses.
Everything seems like it's HD and amazing
and then they take the glasses off
and all off a sudden it looks worse.
That's because you now got used
to seeing normally with the glasses.
AciiD.
What are the current opinions on tattoos
and medical school?
I have a sleeve on my left arm
but everything can be covered.
Would this be an issue?
I don't think it's an issue especially right now.
Medical school is becoming incredibly progressive.
I have a tattoo.
It's not shown.
It's obviously coverable.
That's ideal, just because all humans
have their own implicit biases.
We undergo some implicit bias training
to be more aware of them, but they exist.
So why create an opportunity for a tattoo
on your neck or on your face that patients
are gonna have to confront that and deal with it?
You're bringing another barrier
into the doctor-patient relationship.
And I'm not saying that they're right
for doing that, but it's gonna happen.
If you're aware of that and you understand
the consequences, by all means get that tattoo.
I'm a fan.
And send me a picture of it 'cause I wanna see.
Civilduckling4n.
I don't know what 4n means
but I like you, civilduckling.
Is it weird to sneeze seven times in a row?
Is it weird?
Weird meaning unusual, yes, it's unusual.
But most people do sneeze in multiples,
and my buddy, Leonard Sherman, aka the sausage maker,
he sneezes like seven, eight, nine, 10 times in a row.
He literally sounds like a dog.
Kora Mitchell.
Should I take prenatal vitamins
if I'm trying to get pregnant?
Yeah Kora, you really should.
Within prenatal vitamins, you have a nutrient called folate
or folic acid you'll see sometimes.
That's really important for the development
of your child's neurological development.
I generally don't like supplements,
and I tell people all the time that eh,
you shouldn't really be taking a multivitamin
unless there's a medical reason for it.
Trying to make a baby, and conceive,
you should be taking a prenatal vitamin.
That's a medical reason, there is proof,
there is research on that, so I do recommend prenatals.
Can you please do a collab with David Dobrik
or another youtuber who you haven't collabed with.
Natalie, I want to do this so bad.
I do have one collab lined up
with a very popular youtuber,
I've already collabed with Ricky Dillon,
Eva Gutowski, and Gabbie Hanna,
but if you have a youtuber you want me to collab with,
my biggest piece of advice,
because I don't necessarily feel comfortable just
going out and saying like, hey collab with me.
They get so many requests as is,
I don't want to be annoyance.
If you want to tweet at them,
or leave comments on their YouTube videos
that you think they should collab with me,
I'll jump in, I'll retweet your tweet,
I'll comment, perhaps we can get a line
of conversation going.
Kristin Musa.
What are your opinions on routine infant circumcision
in the U.S.?
I don't know how routine it is.
I guess that you do have to sort of deny it
if you don't want it to happen.
I don't think that there's a lot of great evidence
to support routine circumcision,
I think it's a surgery, it has risks,
it has benefits, and it should be up to the parents
to make a decision on what they want
to happen to their child.
What I do when I'm functioning as a pediatrician,
as a family medicine doctor,
I have a detailed discussion with my parents.
When I say parents, I mean my patients who are parents.
There's not a lot of great benefits.
We're seeing some decreases in what we call Balanitis,
which is inflammation of the glands of the penis.
There's been some research on showing decreased
transmission of HIV in those who are circumcised.
It's not evidence that's mind blowing
or even life changing.
There's certainly side effects
if the procedure goes wrong, and it can go wrong.
Things can go wrong with these procedures.
I've seen botched circumcisions.
Just think about how bad that is.
I don't think it's mutilation,
I've heard some people discuss that,
because there are some benefits,
but it's just important to weigh those benefits
versus the harms for each individual patient
and not just make this a routine procedure.
What are your thoughts on anesthesia awareness?
Is it possible to wake up during surgery?
Eafy, I've heard of this.
It's really scary.
I can't imagine if I'm cut open
and then I wake up and I feel everything.
I've heard of instances of this happening,
knowing how true it is,
'cause it is subjective it's hard to know.
I mean I believe all my patients.
It's really scary, it's something that scares me
and I've thought about this.
What if the anesthesia, since part of anesthesia
is amnesia, meaning that you forget what happened also,
what if during your surgery you wake up,
or you don't wake up but you feel everything,
but then when the surgery's over
and you wake up from the anesthesia
you have amnesia so you don't remember the surgery.
(phone ringing)
(bright jazz music)
Squidlava.
Why do I have such a short attention span?
Maybe 'cause you're a squidlava.
I don't know, I need to ask you so many questions.
The fact that you asked this one question
without any punctuation in the YouTube section
tells me that you definitely have a short attention span.
My thing is when someone comes in with a complaint
of short attention spans, I don't like jumping
to a disorder.
Because what that does is that encourages you
to label yourself as a person who has, let's say ADHD.
It now becomes a self fulfilling prophecy
that's gonna keep you from reaching your goals.
I instead like to focus on, what are your symptoms,
what can we do to help them,
what can we try from the most conservative,
to then an increasing step-wise approach,
that's my thought process on it,
I hope you were able to, despite your
short attention span, listen to my blabbing.
I like your logic.
I like your logic na chatana,
because you left that quote in order
to give me a compliment,
'cause you knew I'll use it in this video
so that you'll get airtime.
So well done, I like your logic.
Before I take a test I study
and know most of the information
but while I'm taking one I seem to blank out.
What causes this, can I fix it?
Mark, this does happen.
This has happened to me, I mean
I've taken hundreds if not thousands of tests
in my career in trying to become a doctor.
Something that you may be doing
that could be contributing to this,
is not simulating a testing environment.
I'll explain what I mean.
I'd like for you to set up, with a timer,
however long you need for your test,
give yourself a test, don't know the answers,
practice recalling that information.
Recalling that information
is a different type of memory
and you need to practice that.
Can we please see pictures of teenage Dr. Mike?
Amy, dear, you don't want to see it.
You don't want to see it.
Spiky, Jersey Shore, Pauly D hair,
in your face, obnoxious.
Look, teenage years are awkward years,
it's not easy to get through them
without some embarrassing pictures floating to the surface.
What's your take on birth control for teens
to use to regulate periods?
Tayah sometimes this makes sense.
I know a lot of people worry about taking birth control,
about increases of risks of certain cancers,
and while there's some truth to that,
there's also some decreases in cancer rates
when taking birth control.
So it's always a trade off between
the benefits and the harms,
especially when you're talking about hormonal treatments.
I have used birth control in teens to help regulate periods.
That was a treatment that I've done in the past.
Is it right for everybody?
Absolutely not.
It's an individual decision
that you should make as a team with your doctor,
and if you're a teen, with your parent.
I can pop my big toes multiple times in a row.
You should put that on your resume.
Its Awesome, Dr. Mike, can you make
a video about concussions?
More information needs to be known about this injury.
I agree with you.
In fact, two days ago I was playing basketball
with my nephew,
I snuff him, because I'm the blockmaster, no, no, no.
- Not in my house.
- I fell, and I fell so bad that I actually have
a bruise on my hip, bruise on my shoulder,
my head got rattled a little bit,
and I think I had a mild concussion,
because I had a headache for like three days after that.
I was initially gonna specialize in sports medicine
after my family medicine residency.
I've attended the conferences on concussions,
I've looked at the research on this,
so I will be making a dedicated video just for you.
What is an unhealthy amount of time on your phone
a day for your eyes or your brain?
I know it's not your specialty,
just curious on what you thought.
Robert I'm curious whose specialty you think it is
to talk about cell phones.
I'll tell you what I tell parents of teenage children,
and I guess middle school children.
It's to limit screen time to two hours a day
outside of what you get in school.
What we found is, not causation but a correlation,
which means, two events happening simultaneously,
those who spend more than two hours
of screen time a day have side effects as a result.
Struggles with mental health, some visual issues.
Try and limit it to two hours a day,
live in real life.
Spend time laughing with your friends,
doing stuff outside.
The world is beautiful, and...
God I sound like I'm 90 years old.
Two hours, that's your answer.
Just found your videos and I'm obsessed.
I don't think it's healthy.
Guess what?
On the contrary, it is healthy.
You're watching a doctor break up misinformation,
teach you real stuff about your health,
give you some guidance, allow you to have fun,
get your neurotransmitters going, win, win, win, win, win.
But please don't spend 500 hours a day
watching my videos.
See that was a trick statement.
There's no 500 hours in a day.
I was exaggerating.
And you'll know that because you're educated.
If radiation can cause cancer,
how come doctors use it to try and shrink the cancer cell?
Radiation is lethal to cells.
Now cancer cells are cells too.
So if we can target the radiation very accurately,
and now we have amazing technology
courtesy of radiation specialists, physics specialists.
When you can target radiation at the tumor cell,
you can actually kill those cancer cells.
Phan howlter.
Is it normal for me to be able to touch my head to my butt.
Okay, I'm not flexible so I can't do it.
You could be hypermobile.
I have patients with hypermobile joints.
While that could be a sign of a clinical condition
like Marfan's or some other ones,
what I know about people who are hypermobile
is they're more susceptible to injuries.
You're supposed to have a limited range of motion,
and when you go past that physiologic range of motion
you could actually cause damage.
Talk to your doctor about what you can be doing
and where you have to exercise caution.
What do you give first, good news or bad news?
Cameron, when I receive news,
I want to hear the bad news first.
I'll take that shock, and then hopefully
the good news will make me feel better
and I'll forget all about the shock.
When I'm delivering the news,
I think I like to do the same thing.
Making people wait for bad news
can increase the anxiety related to that bad news
therefore making the person more susceptible
to negative effects.
That's my medical way of thinking about it.
I saw my first mental health professional today.
Can we talk about how weird it is to talk
about inner feelings with a total stranger?
Stephanie, you're 100% right.
It's hard to talk to to a complete stranger.
It takes time to build the rapport,
and we're not gonna give you a diagnosis
and a treatment plan right away from the first visit.
It takes time for you to be able to share things,
create a connection.
Make sure to stay positive,
carry a personal sense of responsibility,
and know that there is no obstacle that is too big
for you to overcome.
If you come with that mindset,
you will do better with your outcomes.
I know many of you are incredibly passionate
about mental health,
so click up here for my mental health video,
and tell me what you think.
If you have a question, leave it down below
in the comments 'cause clearly I like answering them
As always, stay happy and healthy.