- Curb your enthusiasm while I curb my medical anger
as to the medical accuracy of Curb Your Enthusiasm.
- Hurts right there?
- Yeah.
- Okay. So here's the bottom line with your knee. Okay?
- Yeah.
- You have a tear in your meniscus.
- That didn't look like he was doing McMurray test.
- Now, if you want to fix this thing once and for all,
you need surgery.
- That's not true. Most meniscus injuries heal just great
with conservative management, including physical theory.
- What if I got a second opinion?
- Yeah. A second opinion is smart here,
especially because it's an acute injury.
You can't make predictions about how long
this patient's going to be out,
until you see how they start recovering.
I don't rush to conclusions like this,
and if a doctor is get a second opinion. Good job, Larry.
- Ow. Ah.
- Oh, it's right there.
Yeah. Here's the deal.
You do have a tear in the meniscus,
but it's the outer edge of the meniscus and that area will
heal itself. I think some rest, some ice,
some ibuprofen
I'd put you on a PT course, physical therapy.
You can come here or you can have him come to your home,
whatever, whatever you like.
- That works. The thing with ibuprofen
and other non-steroidal anti-inflammatory medications
is that there are some new studies showing
that using ibuprofen early on in your injury
can actually cause that injury to not heal well
down the line.
There's some instances where it's important in some instance
where we can perhaps use either a different medication
or go no medication at all. As crazy as that sounds.
- One favor, just look at this thing on my back,
tell me if you think, what is it?
- This happens way too often.
This happened to me the other day in my parking garage.
Someone saw me getting out of my car in scrubs and said,
Hey, can you take a look at this?
And I said no.
- I don't know what that is. You know, you want to go
to a doctor.
- Really, really
Do you know how many different things can happen
on your skin? I can't even begin to start naming the list.
- You know that guy right over there? That's Dr. Wiggins.
That's who he was talking about. He's the Lakers' doctor.
- The Lakers' doctor probably shouldn't be
diagnosing skin conditions. No hate on sports med doctors.
I used to dream of being a sports med doctor.
- I'm sorry to bother you with this.
I got a little thing on my back and I was hoping you could
save me a visit to a dermatologist.
- I'm sorry. I'm running a little late.
- I mean, it would just take a second really.
I mean just say something or nothing.
- That's not how medicine works. People think we're robots
where we can just see it and know what's up.
Sometimes we need a dermatoscope.
Sometimes you want to get your vitals.
We want to ask your family history,
whether or not you got sunburned as a child,
whether or not someone in your family had cancer,
all of that changes our differential diagnosis.
You think that can happen in the state of mind a doctor's in
while they're changing in a locker room? I think not, Larry.
- Oh my-
- Oh
Oh
Larry hurt his ACL.
- Easy, easy. Let's get them out.
- See in these situations, when I was a sideline doctor,
I would literally be asking, did you feel something pop?
Did you hear something pop? What gave out? Did you,
did you feel pain then or only feeling pain now?
Like all these are important questions to gauge the severity
of the injury,
but then all the special tests and all of that really
happens outside of the floor into the locker room because
patients needs to calm down.
Players need to relax when the adrenaline rush is going.
They're not feeling everything.
- Could you do me a favor. Would you mind
just taking a quick glance at this thing on my back?
Tell me if there's anything that I should be concerned
about.
- Sure. Turn around.
- Right here. You can see that?
- This is a solar keratosis.
- What is that?
- It's benign. It's from the
- Sunspot
- Really?
- I wouldn't worry about it.
- See, I don't think a doctor would really say that.
I have a feeling this person's not a doctor
because if we say no big deal
and then it turns out to be a big deal,
we're in very big trouble.
Also, sunspots can oftentimes masquerade
or hide cancers below it, or maybe mistaken for cancers.
Knowing how dangerous melanoma
could be, I would never give that advice on the run.
- Okay, Barry, come on. Let's go.
- I knew it
- What?
- Stay out of the sun.
- I knew it wasn't a doctor.
- You're not a doctor?
- Sixth floor. Psychiatric.
- Okay. I will go. As far as to say,
if a doctor just casually gives you advice that asking a lot
of questions or gives you a cure,
like here's the magical potion right here that'll cure you
before finding out the root of the problem
and getting all the information, that's a red flag.
- Can I make an observation? That magazine collection.
You really need to do something about that.
- I don't know why that is.
I feel like we discontinue our subscriptions
or we just get trials.
Also, everyone's on their phone these days.
- What are you doing? Stealing your magazines
from garbage cans? I have never seen such a collection
of (censored) in my life.
(laughing)
- So, what's happening here is called the stress test
where we actually have patients exercise
on a treadmill and we do an EKG live
to see what's happening with the heart.
If there's blockages in the heart and the patient's exerting
themselves, AKA experiencing stress,
we'll see a pattern reflective on the EKG that will tell us
that. At which point we will then have to have the patient
scheduled for an angiogram or maybe even a stent depending
on how bad it is.
But it's not incredibly sensitive at catching all blockages
in the heart. So, this isn't one that we use for everybody.
This is sort of becoming more and more outdated.
The nuclear stress test, the CTA, even, are the newer tests
that we're using to diagnose insufficient blood flow
to the heart.
- People Magazine. Tom cruise is 40! Emilio Estevez is 40!
- Dr. Mike, sexiest doctor alive!
I don't know why Dr. Fauci didn't allow me
to give him the sexiest doctor alive title this year.
How would you feel about me passing on that title to you?
(laughing)
- No, thank you. You're definitely more sexy than I am.
- Hey, Larry.
- Hi, Renee.
- How are you feeling?
(Beeping)
(Beeping intensifies)
- That's fake news. That's not how EKG is look.
- Okay. Unfortunately, I can't give you
a clean bill of health, at this point,
There was a little, slight abnormality.
- I don't know what form this is,
but that's not how tests work. Looking what was happening
on his EKG just looks like he was tachycardic,
which means his heart was beating fast, fine,
but it was so dramatic and not realistic.
- I'm going to give you a device called a heart holter.
- A holter monitor is basically something you wear
on your heart for a period of a day, two days a week,
depending on what the probable cause is
and it basically functions as a live EKG that we can then
look back on and see if there's anything happening in your,
with your heart throughout the day,
whether it's a fast rhythm, abnormal rhythm,
and you could also, as a patient, notify the system that
you're experiencing some symptoms,
so then we can go back and look at the rhythm,
the EKG strip at that time, and see if there's anything that
matches or could be causing your symptoms.
- I got some bad news.
- Oh. Louis?
- Yeah.
- Oh.
- Yeah.
- Kidney?
- Yeah, both of them. He's gonna need a new one.
- Well, is there a donor?
- I don't know.
- I don't understand what happened
that both kidneys failed simultaneously.
That's kind of rare. I mean,
it depends on what the condition is.
- I have good news, gentlemen. Both of your blood types
are compatible with Mr. Lewis for his kidney transplant.
- Did you get the news?
Huh?
- Yeah. Yeah.
- How about that?
- I'm a lucky man. I'm a lucky man to have two
of you guys come through for me. Thank you.
- So, there you go. You got your choice two, two kidneys.
- Wow.
- Of course.
- I'm very grateful man.
- You know, I, I am considerably older than him.
- That's actually interesting because as you get older,
you actually lose some of your kidney function.
There's a predictable curve that happens.
And if you're going to select the kidney,
going based off age is not a bad strategy.
- It's bigger too. It's a big, hefty kidney.
It could just handle a big load, I think,
you know, you can start drinking again
if you wanted to, with that thing.
- Kidneys don't process alcohol. Liver does that.
- Police believe that the suspect, Peter Hagen is resp-
- That's that guy, Pete, the guy got out of jail.
- The victim of a shooting in this case, a Mr. Louis Lewis,
cousin of actor, comedian Richard Lewis is in a coma.
- Are they gonna use his organs instead?
- Good afternoon.
- Hello
- Good hospital room. Everything looks legit.
Bed, suction canister, IV pole, bed pan.
- Well, unfortunately, he's not doing too well.
He's in an irreversible coma.
- He's in a coma, but not intubated.
Like how is he breathing for himself?
- How long do you think he has?
- I beg your pardon?
- How long?
- It's hard to say. It could be days, weeks, months.
There's been cases where patients have been
in comas for years.
- What life support is he on? He has a pulse oximeter
on his finger, maybe an IV in to his hand,
and then just like a nasal cannula
for oxygen and basic blood pressure cuff.
This person's not on life support.
- Louis Lewis has just come out of his coma.
- They're back to figuring out who gives the kidney.
- What are you gonna do about your cousin?
Who needs a kidney?
- Who, Richie?
- Yeah
- Well, so, we'll find him a kidney.
- What about yours?
- What are you crazy? I'm not giving anybody my kidney.
I just woke up. I'm going to give things out now?
- That's very selfish.
- Says the guy who doesn't want to give up his own kidney.
- You are very, very calm, bro.
- God will watch out for me.
- May wanna tell the last guy.
- Oh
(Yelling)
- What about my kidney?
(Yelling)
- Well, if a patient like this doesn't want
to go through the surgery, they cannot be forced,
like, they're volunteering and they're
allowed to say no at any time. The same way
that we're able to, as patients as, in charge of ourselves,
able to say we do not want to be resuscitated.
And at the same time,
if we're starting to, let's say, go into cardiac arrest
just before we finally pass out to say, no,
I want to be resuscitated and doctors have to honor that.
- See, this is what you get for doing good deeds.
(flat line)
- Larry?
- Oh my God. Check his pulse and start
chest compressions, chest compressions, chest compressions.
Chest compressions!
Why is everyone just looking?
See, if they'd watched the YouTube channel they'd know.
I watched MASH. Check out my review of that medical accuracy
and as always stay happy and healthy.
Click here to check it out.
Come on.
What?
(upbeat music)