- [Danielle] Oh my God, I'm so happy you're joking.
I was like, Mike either has no idea what he's talking about,
or I've said something horribly confusing in a video.
- YouTube pranks are a popular topic,
but I'm about to go medical with them.
But instead of pranking random individuals,
I'm targeting doctors.
Peewoop!
This is my buddy.
His name is Dr. Dilshad Atwal.
Yo yo, settle a bet for me real quick,
'cause you gotta put that real quick in there.
If a patient is having back pain
for more than one week,
it's a vertebral fracture
until proven otherwise.
I just asked this interventional pain medicine doctor
if someone has back pain for a week,
it means that they have a broken back.
The truth, back pain for one week is most likely
a muscle, disc, or connective tissue problem,
not a broken back.
I'm curious how nice he's gonna be in a response.
Eh, I don't jump to putting that in my differential,
but yes, it can be.
If it's new onset just one week.
What?
The bubbles.
They're coming.
- For an entire year during fellowship,
I saw roughly 15 on average patients a day.
How many patients a day do you see with back pain?
- The most common complaint for family medicine doctors
is low back pain.
- I'm a pain specialist.
I see so many people.
- But you're telling me this is,
this is the difference between what I'm saying,
and what you're saying.
You're telling me an anecdote.
- You just said something based on
your own anecdotal...
- No, no, no, no, no.
I'm telling you that I saw it.
- You just said the same exact thing.
- No, no.
- You said the same exact thing as me.
You, you...
- So what makes you more right?
- Because of the fact that I've seen
a larger sample size of patients.
- But you're, you're pre-selecting 'em,
and you're not doing x-rays.
- I'm the specialist that sees back pain all the time.
- Oh, and specialists apparently know more.
- Yeah.
No legit, 'cause think about it this way.
I'm not gonna argue with,
'cause I'm not gonna talk about appendicitis
when you're the one who sees abdominal pain
so much more than I do.
- Yeah, but if you said a reasonable thing
about appendicitis, I would listen to it.
You're saying mine's an anecdote,
but yours an anecdote too.
- Mine's the more experienced.
One year versus...
- So you have a better anecdote.
- (sighs) You're still not understanding.
- No, you're not understanding.
Where are you walking around?
It looks like you're walking around in a castle.
- It's my house. - Oh.
- Yeah. Oh, look at this guy.
- Oh, look, it's a dog.
By the way, I'm just peewoop with you.
I've been pranking you this whole time.
- Oh, so you didn't... (Mike laughs loudly)
I'm like, 'cause I...
Bro, what are you talking about?
You got me so bad. (Mike laughs)
You got me so bad.
- All right, holla.
- Because I just woke up from a nap, too,
and I was just like, this guy just got my blood...
(Mike laughs)
- He just said, you got my blood boiling after a nap.
Who naps on Friday afternoon?
Okay, I chose this one
because Dr. Espina was my senior in residency,
so he trained me, and he gave me a lot of wisdom.
I wanna try and trick him
with this little piece of information.
When you have hard to control diabetes
and the blood sugar's really high,
you told me, give them high dose prednisone for a week
and it will help their sugar.
The truth, steroids, i.e. prednisone,
actually have a side effect of raising blood sugars
and they need to be very carefully used
in diabetic patients.
Doctors would not give steroids to help with sugars.
- [Luis] No, no, no, no, no, no, no.
I never said that.
- I remember.
- [Luis] You misunderstood something.
No, no, no, no, dude.
I never said that to you.
- Are you sure?
- I would ne... Good night, Judy.
You misunderstood something I said.
- I think, I think you're just thinking of it anecdotally.
- [Luis] No, no, no, dude, I'm serious.
I would never say that to you.
I would never say that.
- Over the last three years of being an attending,
I've been prescribing prednisone
to all my diabetic patients.
- [Luis] No, dude, no! (laughs)
No, no, no, no, no, no, no, no, no, no.
No, no. (laughs)
I can tell you this for a fact,
what you're saying is not something I would ever have said.
- So you're saying over the last three years,
everyone I've prescribed prednisone for high blood sugar,
I've been wrong?
- [Luis] Yes, you, you real...
- Oh no.
- [Luis] I don't know which one of your girlfriends
you were fighting with at the time,
you didn't hear that peewoop from me.
- Well, you're gonna be on the YouTube channel, Dr. Espina
on medical prank show.
- [Luis] No, no, no, no, no, no, no. (laughs)
Peewoop you.
(both laugh)
All right, go prank more doctors.
I love you, I miss you, I hope you're good, bro.
- All right, love (water burbles)
- Later. - Love you, bye.
You gotta love Espina.
Mike, it's your girlfriends that are cut...
I've only had three girlfriends
in the 10 years you've known me.
Not 10 years, seven years.
I think that's okay.
This one's gonna be my favorite.
I mean, Mama Doctor Jones is the epitome of empathy.
It's not clear, but how long does menopause last?
Keep it broad, keep it broad.
The truth, actual menopause lasts forever
and is a natural part of human aging.
Also, menopausal symptoms vary
from individual to individual.
Seen just now and she's not answering,
'cause you know, she's thinking about it. (laughs)
Mama Doctor Jones, I am apologizing
for whatever you feel the need the text right now.
I promise, I don't think this.
I don't think that your menstrual cycle
will restart in your eighties. (laughs)
She's typing a long response.
She's like, this doctor needs a lesson.
Wow, she's really typing.
Menopause is just defined as a year without cycles
in absence of other causes, so menopause is forever.
Symptoms like, like I told you, vasomotor instability
are very unpredictable.
Some experience for two to three years,
starting a bit before cycles stop,
and others can experience symptoms for way longer.
Some people have no symptoms at all.
But when does it restart?
(laughs) I wish I see her face.
She goes, I don't understand what you mean, restart.
Like cycles?
I wrote well, yeah, after the pause,
the hormones can come back, right? (laughs)
(upbeat music)
- I swear that when I was taught that the pause,
after the year, it could restart,
and that's why it was called the pause.
- [Danielle] By definition, menopause is,
you know, and we're talking about someone
who's the normal age of menopause, not someone who is 35,
but by definition, if a patient comes in
and they're 51 and it's been a year since their last cycle,
especially if they're having symptoms,
I can pretty definitively tell them
that you're in menopause, you're not ovulating any more,.
And any time someone has bleeding after that,
it should always, always, always be worked up
because that's the most common presenting symptom
of endometrial cancer.
- I have to say Dr. Jones, you're the nicest doctor ever.
I'm doing a medical prank video
where I call my fellow physician colleagues,
and I ask them absurd medical questions,
and you've been the nicest human.
Literally, I'm telling you nonsense
about the menopause being a pause and restarting,
and you're telling me medical exclusions
where it may happen.
Seriously, bless your heart.
- [Danielle] I told my husband.
Oh my God, I'm so happy you're joking.
I was like, Mike either has no idea what he's talking about
or I've said something horribly confusing in a video.
- Speaking of unprofessional medical conduct,
would you trust a doctor dressed like this
or would you trust a doctor who's on TikTok?
Click for one of these two videos,
and as always, stay happy and healthy.
(upbeat music)